Shore Prosthetics and Orthotics LLC

Key facts

NPI

1043085210

Entity type

Organization (NPI type 2)

Primary specialty

Prosthetic/Orthotic Supplier 335E00000X

Legal business name

SHORE PROSTHETICS AND ORTHOTICS LLC

Practice address

4050 Estate la Grande Princesse Ste 7
Christiansted, VI 00820-4328

Phone

(340) 714-1009

NPI assigned

Nov 17, 2023

Organization subpart

No

Authorized official

Name

Ivan Sabel

Title

Ceo

Phone

(410) 897-1141

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Shore Prosthetics and Orthotics LLC Prosthetic/Orthotic Supplier · St Thomas, VI · NPI 1720441272
  Same PAC ID 2668684473
• Shore Prosthetics and Orthotics LLC Prosthetic/Orthotic Supplier · Severna Park, MD · NPI 1083884522
  Same PAC ID 2668684473

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

• Shore Prosthetics and Orthotics LLC Prosthetic/Orthotic Supplier · St Thomas, VI · NPI 1720441272
  NPD tax ID
• Shore Prosthetics and Orthotics LLC Prosthetic/Orthotic Supplier · Severna Park, MD · NPI 1083884522
  NPD tax ID

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Medicare participation

Medicare fee-for-service enrollment

Enrolled in VI

Medicare enrollment records

National Provider Directory

Tax ID family

Shore Prosthetics Orthotics (3 organizations share this tax ID)

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 12, 2026.

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1043085210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14055 CEDAR RD STE 107",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441183333",
            "telephone_number": "410-897-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 ESTATE LA GRANDE PRINCESSE STE 7",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204328",
            "telephone_number": "340-714-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE PROSTHETICS AND ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "SABEL",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-897-1141"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansted, VI

• Schuster Rehalibitation Services
• Angelica Rosalia Schuster, P.T
• Schusters Rehabilitation Services Inc.
• Sheryl A Serano-Griffith, MSW, CSW
• Gena Seroogy
• Tracie S Silich, PTA
• Khnuma E Simmonds, PHD
• Sion Farm Clinical Laboratory, Inc.
• Sion Farm Urgent Care Center
• SK Therapies

All providers in Christiansted, VI · Prosthetic/Orthotic Supplier in U.S. Virgin Islands