Shelby Ball
Individual provider Active NPI Prosthetic/Orthotic Supplier · Boardman, OH
NPI 1114879624 · NPPES record last updated Feb 10, 2026
Key facts
- NPI
- 1114879624
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- License
- COS.037526 (OH)
- Practice address
- 362 Boardman Poland Rd Ste 12
Boardman, OH 44512-4934 - Phone
- (330) 720-7119
- NPI assigned
- Feb 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COS.037526 | OH | MD | Prosthetic/Orthotic Supplier |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | COS.037526 | OH | Yes |
Addresses
Primary practice location
362 Boardman Poland Rd Ste 12
Boardman, OH 44512-4934
Mailing address
2761 Grandview Blvd
Canfield, OH 44406-9123
Phone (330) 720-7119
Other providers in Boardman, OH
- Lisa Baglieri
- Brent Baisch
- Catherine Susan Baker
- Robert S Bakondy
- Kingsley E Baldwin III
- Joseph Ballone II
- Kyle Banna
- Jessica Lynn Barat
- Brendan Michael Barrett
- John Barrett
All providers in Boardman, OH · Prosthetic/Orthotic Supplier in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.