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 1992175459

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

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

1645 W 8th St
Erie, PA 16505-5007
Phone: (814) 875-8700
Fax: (814) 875-8756
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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

Record details

NPI number1992175459
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPediatric Orthotic and Prosthetic Services - Northeast, LLC
Authorized official Alex Betancourt — Manager · (814) 875-8895
NPI enumeratedSeptember 28, 2015
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing addressPo Box 947109, Atlanta, GA 30394-7109

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