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

Pediatric Orthotics and Mobility Institute

Organization Prosthetics Case Management · NPI 1780526905

Pediatric Orthotics and Mobility Institute is a Prosthetics Case Management in Glendale, Arizona. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4

Practice location Address checks out

17505 N 79th Ave Ste 111F
Glendale, AZ 85308-8724
Phone: (480) 788-4199
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthotist (primary) Taxonomy 222Z00000X
Prosthetics Case Management Taxonomy 1744P3200X
Prosthetist Taxonomy 224P00000X
Orthotic Fitter Taxonomy 225000000X

Record details

NPI number1780526905
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole McLaughlin — Owner · (480) 788-4199
NPI enumeratedApril 7, 2026
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing address17505 N 79th Ave Ste 111f, Glendale, AZ 85308-8724