Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pediatric Orthotic and Prosthetic Services- Northeast, LLC

Organization Prosthetic/Orthotic Supplier · NPI 1336537042

Pediatric Orthotic and Prosthetic Services- Northeast, LLC is a Prosthetic/Orthotic Supplier in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2015.

Licensed in
PA
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3551 N Broad St
Philadelphia, PA 19140
Phone: (215) 430-4000
Fax: (215) 430-4027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X (PA)

Record details

NPI number1336537042
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPediatric Orthotic and Prosthetic Services- Northeast, LLC
Authorized official Calli Clark — Director Of Orthotics & Prosthetics · (215) 430-4096
NPI enumeratedJanuary 5, 2015
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing addressPo Box 947109, Atlanta, GA 30394-7109

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