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

Pediatric Orthotic and Prosthetic Services-Northeast, LLC

Organization Prosthetic/Orthotic Supplier · NPI 1902208945

Pediatric Orthotic and Prosthetic Services-Northeast, LLC is a Prosthetic/Orthotic Supplier in Springfield, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2014.

Licensed in
MA
In the registry since
2014
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

516 Carew St
Springfield, MA 01104-2330
Phone: (413) 735-1223
Fax: (413) 735-1214
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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 (MA)

Record details

NPI number1902208945
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brock McConkey — Manager · (413) 735-1223
NPI enumeratedSeptember 22, 2014
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing addressPo Box 947109, Atlanta, GA 30394-7109

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