Bionic Prosthetics and Orthotics Group LLC
Organization Active NPI Prosthetic/Orthotic Supplier · Portage, MI
NPI 1124686704 · NPPES record last updated Jul 21, 2026
Key facts
- NPI
- 1124686704
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- BIONIC PROSTHETICS AND ORTHOTICS GROUP LLC
- Practice address
- 5401 Portage Rd Ste 2
Portage, MI 49002-1736 - Phone
- (269) 350-5906
- Fax
- (744) 852-4065
- NPI assigned
- May 30, 2019
- Organization subpart
- No
Authorized official
- Name
- Laura Allen
- Title
- Contracting Manager
- Phone
- (336) 482-8231
Corporate family (same tax ID) 32
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Bionic Prosthetics and Orthotics GR |
Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190918002567 | MI | DME Supplier - Orthotic Personnel |
5890992523 | Practice locations: Portage, MI |
National Provider Directory
- Tax ID family
- Bionic Prosthetics and Orthotics Group LLC
Locations
5401 Portage Rd
Ste 2
Portage, MI 49002
Phone (269) 350-5906
5401 Portage Rd
Ste 2A
Portage, MI 49002
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
5401 Portage Rd Ste 2
Portage, MI 49002-1736
Mailing address
PO Box 2300
Valparaiso, IN 46384-2300
Phone (219) 791-9200
Other providers in Portage, MI
- Jennifer D Bickle
- Allie Bierling
- Jessica Biggs
- Priyanka Bikkina
- Tiffany Billings
- Therese A Birkam-Jade
- Shannon Renee Birkhold
- Judith Clare Birkmeier
- Gary H. Bischof
- Megan Bishop
All providers in Portage, MI · Prosthetic/Orthotic Supplier in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.