Shore Prosthetics and Orthotics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SHORE PROSTHETICS AND ORTHOTICS LLC

Practice address

844 Ritchie Hwy
Suite 202
Severna Park, MD 21146-4137

Phone

(410) 897-1141

Fax

(866) 294-9581

NPI assigned

Mar 11, 2008

Organization subpart

No

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

Authorized official

Name

Ivan Sabel

Title

Ceo

Phone

(410) 897-1141

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

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
  • Christiansted, VI
  • NPI 1043085210

  2668684473

  Same PAC ID
• Shore Prosthetics and Orthotics LLC

  • Prosthetic/Orthotic Supplier
  • St Thomas, VI
  • NPI 1720441272

  2668684473

  Same PAC ID

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

Shore Prosthetics Orthotics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Shore Prosthetics and Orthotics LLC

  • Prosthetic/Orthotic Supplier
  • Christiansted, VI
  • NPI 1043085210
  NPD tax ID
• Shore Prosthetics and Orthotics LLC

  • Prosthetic/Orthotic Supplier
  • St Thomas, VI
  • NPI 1720441272
  NPD tax ID

Locations

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1083884522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 RITCHIE HWY STE 202",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464137",
            "telephone_number": "410-897-1141",
            "fax_number": "866-294-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 RITCHIE HWY",
            "address_2": "SUITE 202",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464137",
            "telephone_number": "410-897-1141",
            "fax_number": "866-294-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE PROSTHETICS AND ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y393",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699336200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Sheehy, RN
• Carolyn Sheils, CCC-SLP
• Julie Shepard, BCBA
• Benna Z Sherman, PHD
• Shine Behavioral Health, LLC
• Amy Sigmon, MS/OTR/L
• Kaitlyn Ashley Sikkema
• Sherryl Lynn Silberman, MSW LCSWC BCD
• Megan Elizabeth Sillaman, LMSW
• Heather Joy Silver, LCSW-C, CPLC

• All providers in Severna Park, MD
• Prosthetic/Orthotic Supplier in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.