Summit City Prosthetics & Orthotics Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SUMMIT CITY PROSTHETICS & ORTHOTICS INC

Practice address

2410 N Glendale Dr Ste C
Fort Wayne, IN 46804-8909

Phone

(260) 312-1746

NPI assigned

Aug 14, 2019

Last updated

Apr 29, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shawn Dee Brown, CPONPI 1184156101

Title

President

Phone

(260) 312-1746

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

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

Medicare medical equipment & supply locations

Tax ID family

Summit City Prosthetics Orthotics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Summit City Prosthetics & Orthotics Inc

  • Prosthetic/Orthotic Supplier
  • South Bend, IN
  • NPI 1184205379
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Summit City Prosthetics & Orthotics Inc

  • Prosthetic/Orthotic Supplier
  • South Bend, IN
  • NPI 1184205379
  NPPES parent name

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.

• Shawn Dee Brown, CPO

  • Prosthetic/Orthotic Supplier
  • Fort Wayne, IN
  • NPI 1184156101
  NPD Authorized official

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1043866106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 N GLENDALE DR STE C",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468048909",
            "telephone_number": "260-312-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 N GLENDALE DR STE C",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468048909",
            "telephone_number": "260-312-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CITY PROSTHETICS & ORTHOTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-312-1746",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Allergy Inc
• Summit Anesthesia, LLC
• Summit BHC Ft Wayne LLC (Northern Path Recovery Center)
• Summit City Health Clinic
• Summit City Physical Medicine LLC
• Summit City Smiles
• Summit Counseling and Coaching LLC
• Summit Dental Group PC
• Summit Hearing Solutions,Inc.
• Summit Medical Associates LLC

• Prosthetic/Orthotic Supplier in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Prosthetic/Orthotic Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.