PROSTHETIC ORTHOTIC SPECIALIST INC – Prosthetic/Orthotic Supplier, NPI 1851389449

PROSTHETIC ORTHOTIC SPECIALIST INC is a healthcare provider. based in Peoria, Illinois. specializing in Prosthetic/Orthotic Supplier. The NPI Number for PROSTHETIC ORTHOTIC SPECIALIST INC is 1851389449

Main info

Organization
Name
PROSTHETIC ORTHOTIC SPECIALIST INC
NPI
1851389449
Phone
(309) 676-2276
Address
741 W MAIN ST
Authorized Official
MR. DONALD GOERTZEN PRESIDENT CPO
Enumeration Date
9 October 2005
Last Update Date
30 July 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for PROSTHETIC ORTHOTIC SPECIALIST INC

  • 741, West Main Street, Peoria, Peoria County, Illinois, 61606, United States

    PEORIA, IL 616061953

    Phone: (309) 676-2276

    Fax: (309) 676-0486

    Type: Mailing

  • 701, Northeast Jefferson Avenue, North Valley, Peoria, Peoria County, Illinois, 61603, United States

    PEORIA, IL 61603

    Phone: (309) 688-9549

    Fax: (309) 676-0486

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 61606)

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Reviews

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Frequently asked questions

What is PROSTHETIC ORTHOTIC SPECIALIST INC's NPI number?
PROSTHETIC ORTHOTIC SPECIALIST INC's NPI is 1851389449 — the number used across U.S. healthcare to identify this provider.
Would PROSTHETIC ORTHOTIC SPECIALIST INC appear as active to a payer?
You can treat PROSTHETIC ORTHOTIC SPECIALIST INC as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to PROSTHETIC ORTHOTIC SPECIALIST INC?
PROSTHETIC ORTHOTIC SPECIALIST INC's specialty line reads Prosthetic/Orthotic Supplier. Clinical services aligned with this taxonomy classification.
Is PROSTHETIC ORTHOTIC SPECIALIST INC associated with Peoria?
Public fields place PROSTHETIC ORTHOTIC SPECIALIST INC around Peoria, Illinois. Always confirm the exact site before visiting.
Does PROSTHETIC ORTHOTIC SPECIALIST INC accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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