Pediatric Orthotic and Prosthetic Services- Northeast, LLC
NPI 1336537042 · Prosthetic/Orthotic Supplier · Philadelphia, PA
Enrolled with Medicare as Dme Supplier - Medical Supply Company With Orthotic-Prosthetic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pediatric Orthotic and Prosthetic Services- Northeast, LLC is a Prosthetic/Orthotic Supplier organization in Philadelphia, PA (NPI 1336537042).
Provider details
- NPI number
- 1336537042
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Parent organization
- Pediatric Orthotic and Prosthetic Services- Northeast, LLC
- Organization subpart
- Yes
- Authorized official
- Calli Clark, Director of Orthotics & Prosthetics(215) 430-4096
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-01-05
- Last updated
- 2025-04-23
- Certified
- 2025-04-23
Frequently asked questions
- What is Pediatric Orthotic and Prosthetic Services- Northeast, LLC's NPI number?
- Pediatric Orthotic and Prosthetic Services- Northeast, LLC's National Provider Identifier (NPI) is 1336537042, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Orthotic and Prosthetic Services- Northeast, LLC?
- Pediatric Orthotic and Prosthetic Services- Northeast, LLC is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Pediatric Orthotic and Prosthetic Services- Northeast, LLC located?
- Pediatric Orthotic and Prosthetic Services- Northeast, LLC's practice location on file with NPPES is 3551 N Broad St, Philadelphia, PA 19140.
- What is Pediatric Orthotic and Prosthetic Services- Northeast, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Orthotic and Prosthetic Services- Northeast, LLC is (215) 430-4000.
- Does Pediatric Orthotic and Prosthetic Services- Northeast, LLC accept Medicare?
- Pediatric Orthotic and Prosthetic Services- Northeast, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pediatric Orthotic and Prosthetic Services- Northeast, LLC?
- The authorized official listed on Pediatric Orthotic and Prosthetic Services- Northeast, LLC's NPPES record is Calli Clark, Director of Orthotics & Prosthetics. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Orthotic and Prosthetic Services- Northeast, LLC's NPI active?
- Yes — Pediatric Orthotic and Prosthetic Services- Northeast, LLC's NPI (1336537042) is active in the NPPES registry as of the last update on 2025-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.