Organization Active NPI

Pro Med Prosthetics & Orthotics LLC

  • Prosthetist
  • Windsor, CT
National Provider Identifier
1013488469
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Legal business name
PRO MED PROSTHETICS & ORTHOTICS LLC
Practice address
340 Broad St Ste 320
Windsor, CT 06095-3030
Phone
(860) 298-9900
Fax
(860) 298-9911
NPI assigned
Dec 11, 2018
Last updated
Sep 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Timothy Edward Ploszaj
Title
Member
Phone
(860) 982-8542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthetistGroup: 193400000X SINGLE SPECIALTY GROUP 224P00000X Primary

Addresses

Primary practice location

340 Broad St Ste 320
Windsor, CT 06095-3030

Mailing address

340 Broad St Ste 320
Windsor, CT 06095-3030
Phone (860) 254-1134

National Provider Directory

National Provider Directory

Locations

340 Broad St
Ste 320
Windsor, CT 06095
Phone (860) 298-9900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1013488469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BROAD ST STE 320",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060953030",
            "telephone_number": "860-254-1134",
            "fax_number": "860-254-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BROAD ST STE 320",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060953030",
            "telephone_number": "860-298-9900",
            "fax_number": "860-298-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO MED PROSTHETICS & ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "PLOSZAJ",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-982-8542"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.