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

Pediatric Orthotic and Prosthetic Services - Northwest, LLC

Organization Prosthetic/Orthotic Supplier · NPI 1275935207

Pediatric Orthotic and Prosthetic Services - Northwest, LLC is a Prosthetic/Orthotic Supplier in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
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

4400 Clayton Ave
Saint Louis, MO 63110-1624
Phone: (314) 872-7891
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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 (MO)

Record details

NPI number1275935207
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPediatric Orthotic and Prosthetic Services - Northwest, LLC
Authorized official Darren Rottmann — Manager · (314) 872-7891
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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