Active NPI
Treasure Coast Prosthetic and Orthotic Services Inc
- Prosthetic/Orthotic Supplier
- Melbourne, FL
National Provider Identifier
1184445587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- TREASURE COAST PROSTHETIC AND ORTHOTIC SERVICES INC
- Practice address
- 1405 Valentine St
Melbourne, FL 32901-3129 - Phone
- (772) 567-5200
- NPI assigned
- Oct 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul W Werner, CPO
- Title
- President
- Phone
- (772) 567-5200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
1405 Valentine St
Melbourne, FL 32901-3129
Mailing address
1645 20TH St
Vero Beach, FL 32960-3565
Phone (772) 567-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250515000387 | FL | DME Supplier - Prosthetic Personnel | 4789701194 | Practice locations: Melbourne, FL |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Prosthetic/Orthotic Supplier
- Fort Pierce, FL
- NPI 1780602607
4789701194
-
- Prosthetic/Orthotic Supplier
- Vero Beach, FL
- NPI 1699777805
4789701194
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Treasure Coast Prosthetic and Ortho | Contracture Treatment Devices: Dynamic Splint|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 | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Treasure Coast Prosthet
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Fort Pierce, FL
- NPI 1780602607
-
- Prosthetic/Orthotic Supplier
- Vero Beach, FL
- NPI 1699777805
Locations
1805 S 25th St
Ste A
Fort Pierce, FL 34947
Phone (772) 465-0588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752019200000",
"number": "1184445587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1645 20TH ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329603565",
"telephone_number": "772-567-5200",
"fax_number": "772-567-0160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 VALENTINE ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013129",
"telephone_number": "772-567-5200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TREASURE COAST PROSTHETIC AND ORTHOTIC SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-18",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A",
"authorized_official_last_name": "WERNER",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "772-567-5200",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.