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

Pediatric Orthotic and Prosthetic Services-Southeast, LLC

Organization Prosthetic/Orthotic Supplier · NPI 1912303330

Pediatric Orthotic and Prosthetic Services-Southeast, LLC is a Prosthetic/Orthotic Supplier in Shreveport, Louisiana. Registered with an NPI since 2014.

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

3100 Samford Ave
Shreveport, LA 71103-4239
Phone: (318) 226-3310
Fax: (318) 226-4294
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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 number1912303330
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPediatric Orthotic and Prosthetic Services-Southeast, LLC
Authorized official Joseph Gomez — Director Of O&P · (318) 226-4279
NPI enumeratedNovember 12, 2014
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing addressPo Box 947109, Atlanta, GA 30394-7109

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