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

Prosthetic Orthotic Specialist Inc

Organization Prosthetic/Orthotic Supplier · NPI 1851389449

Prosthetic Orthotic Specialist Inc is a Prosthetic/Orthotic Supplier in Peoria, Illinois. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

701 NE Jefferson Ave
Peoria, IL 61603
Phone: (309) 688-9549
Fax: (309) 676-0486
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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 number1851389449
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Goertzen — President · (309) 676-2276
NPI enumeratedOctober 9, 2005
Last updated in NPPESJuly 30, 2018
Mailing address741 W Main St, Peoria, IL 61606-1953

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