SOUTH BEACH ORTHOTICS & PROSTHETICS, LLC – Prosthetic/Orthotic Supplier, NPI 1346559507

SOUTH BEACH ORTHOTICS & PROSTHETICS, LLC is a healthcare provider. based in Boca raton, Florida. specializing in Prosthetic/Orthotic Supplier. The NPI Number for SOUTH BEACH ORTHOTICS & PROSTHETICS, LLC is 1346559507

Main info

Organization
Name
SOUTH BEACH ORTHOTICS & PROSTHETICS, LLC
NPI
1346559507
Phone
(561) 394-4200
Address
3350 NW 2ND AVENUE
Authorized Official
MR. MARK SELLECK OWNER / PRESIDENT
Enumeration Date
5 October 2010
Last Update Date
1 May 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:15State licenses:0Digital endpointsOther names

Provider Addresses for SOUTH BEACH ORTHOTICS & PROSTHETICS, LLC

  • 3350 NW 2ND AVENUE

    SUITE B-18

    BOCA RATON, FL 33431

    Phone: (561) 394-4200

    Fax: (561) 394-4422

    Type: Mailing

  • 7305 SW GAINES AVE

    STUART, FL 349977332

    Phone: (772) 334-8060

    Fax: (772) 334-8061

    Type: Location

  • 4147 SUN N LAKE BLVD

    SEBRING, FL 338722131

    Phone: (305) 672-9393

    Fax: (305) 675-3706

    Type: Mailing

  • 744 S COLORADO AVE

    STUART, FL 349943005

    Phone: (772) 221-9426

    Fax: (772) 872-3010

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-11-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2026-04-30 (43 days ago).

Enrollment records

1

Earliest due date

2026-04-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20111129000042OOrthotic PersonnelFL2026-04-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33431)

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Reviews

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Frequently asked questions

What federal number belongs to SOUTH BEACH ORTHOTICS & PROSTHETICS, LLC?
The federal identifier for SOUTH BEACH ORTHOTICS & PROSTHETICS, LLC is NPI 1346559507.
Does this profile mean SOUTH BEACH ORTHOTICS & PROSTHETICS, LLC is currently active?
Yes — SOUTH BEACH ORTHOTICS & PROSTHETICS, LLC appears active in the national provider directory.
Can you summarize SOUTH BEACH ORTHOTICS & PROSTHETICS, LLC's specialty in plain language?
Clinically, the directory lists SOUTH BEACH ORTHOTICS & PROSTHETICS, LLC with Prosthetic/Orthotic Supplier. Clinical services aligned with this taxonomy classification.
Where is SOUTH BEACH ORTHOTICS & PROSTHETICS, LLC's primary listing?
We display Boca Raton, Florida because that is what the record indicates for SOUTH BEACH ORTHOTICS & PROSTHETICS, LLC.
Is SOUTH BEACH ORTHOTICS & PROSTHETICS, LLC a real provider?
This page reflects official NPPES data for NPI 1346559507. Always confirm identity and privileges with the practice and licensing boards.

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