SOUTH BEACH ORTHOTICS & PROSTHETICS LLC – Prosthetic/Orthotic Supplier, NPI 1881616720
Prosthetic/Orthotic Supplier
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SOUTH BEACH ORTHOTICS & PROSTHETICS LLC
7305 SW GAINES AVE
STUART, FL 349977332
Phone: (561) 394-4200
Fax: (561) 394-4422
Type: Mailing
4147 SUN N LAKE BLVD
SEBRING, FL 338722131
Phone: (305) 672-9393
Fax: (305) 675-3706
Type: Mailing
3350, Northwest 2nd Avenue, Boca Raton, Palm Beach County, Florida, 33431, United States
SUITE B-18
BOCA RATON, FL 33431
Phone: (561) 394-4200
Fax: (561) 394-4422
Type: Mailing
4735, Palm Avenue, Hialeah, Miami-Dade County, Florida, 33012, United States
HIALEAH, FL 330124037
Phone: (305) 672-9393
Fax: (305) 675-3706
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: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-10-31 (141 days away).
Enrollment records
1
Earliest due date
2026-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100930042262 | O | Certified Orth/Pros/Pedorthist | FL | 2026-10-31 |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
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 34997)
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