Performance Orthopedic Design, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PERFORMANCE ORTHOPEDIC DESIGN, LLC

Doing business as

Mountain Orthotic and Prosthetic Services

Practice address

7 Old Military Rd
Lake Placid, NY 12946-1614

Phone

(518) 523-2419

Fax

(518) 523-7192

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Jeffrey Louis Erenstone

Title

Owner

Phone

(518) 523-2419

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mountain Orthotic and Prosthetic Services Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Performance Orthopedic Design LLC

  dba Mountain Orthotic and Prosthetic Services

  • Prosthetic/Orthotic Supplier
  • Plattsburgh, NY
  • NPI 1205141611

  5890990857

  Same PAC ID
• Performance Orthopedic Design, LLC

  dba Mountain Orthotic & Prosthetic Services

  • Prosthetic/Orthotic Supplier
  • Malone, NY
  • NPI 1669040960

  5890990857

  Same PAC ID
• Performance Orthopedic Design LLC

  dba Mountain Orthotic & Prosthetic Services

  • Prosthetic/Orthotic Supplier
  • South Burlington, VT
  • NPI 1184595738

  5890990857

  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

Performance Orthopedic Design LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Performance Orthopedic Design LLC

  dba Mountain Orthotic and Prosthetic Services

  • Prosthetic/Orthotic Supplier
  • Plattsburgh, NY
  • NPI 1205141611
  NPD tax ID
• Performance Orthopedic Design, LLC

  dba Mountain Orthotic & Prosthetic Services

  • Prosthetic/Orthotic Supplier
  • Malone, NY
  • NPI 1669040960
  NPD tax ID
• Performance Orthopedic Design LLC

  dba Mountain Orthotic & Prosthetic Services

  • Prosthetic/Orthotic Supplier
  • South Burlington, VT
  • NPI 1184595738
  NPD tax ID

Locations

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1205036142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 OLD MILITARY RD",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461614",
            "telephone_number": "518-523-2419",
            "fax_number": "518-523-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 OLD MILITARY RD",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461614",
            "telephone_number": "518-523-2419",
            "fax_number": "518-523-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE ORTHOPEDIC DESIGN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "ERENSTONE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-523-2419"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02936501",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Orthotic and Prosthetic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mountain Lake Academy
• Mountain Medical Primary Care, PLLC
• Alisha Mullarney, MS, CCC-SLP
• Elizabeth E Nadler, ATC, CSCS
• Gilbert Evan Patenaude, D.C.
• Madalyn Pfeifer, DPT
• Pharmacy Operations of New York Inc (Medicine Shoppe)
• Jennifer H Phelabaum, FNP
• Derrick Kevin Pierce, PHARM D, RPH
• Placid Audiology, PLLC

• Prosthetic/Orthotic Supplier in Lake Placid, NY
• Providers in Lake Placid, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.