Active NPI
Presque Isle Orthopedic Laboratory Inc.
- Prosthetic/Orthotic Supplier
- Erie, PA
National Provider Identifier
1487733135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- PRESQUE ISLE ORTHOPEDIC LABORATORY INC.
- Practice address
- 2440 W 8TH St
Erie, PA 16505-4428 - Phone
- (814) 838-2349
- Fax
- (814) 835-8042
- NPI assigned
- Nov 3, 2006
- 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
- Ivan Sabel
- Title
- Ceo
- Phone
- (814) 838-0099
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
2440 W 8TH St
Erie, PA 16505-4428
Mailing address
2440 W 8TH St
Erie, PA 16505-4428
Phone (814) 838-2349
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000283567 | Other | PA | HIGHMARK BLUE SHIELD |
| 0008863300003 | Medicaid | PA | |
| 69236 | Other | PA | UNISON HEALTH PLAN |
| 02731175 | Medicaid | NY | |
| 1011839 | Other | PA | GATEWAY HEALTHPLAN |
| 0715891 | Medicaid | OH | |
| 221020 | Other | HEALTH AMERICA/HEALTH ASS | |
| 000283567 | Other | PA | HIGHMARK BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930025537 | PA | DME Supplier - Medical Supply Company With Orthotic Personnel | 9335266550 | Practice locations: Erie, PA |
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 |
|---|---|---|
| Presque Isle Orthopedic Laboratory | 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 |
National Provider Directory
National Provider DirectoryLocations
2440 W 8th St
Erie, PA 16505
Phone (814) 838-2349
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthotic Fitter
- South Euclid, OH
- NPI 1780544916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778544000000",
"number": "1487733135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 W 8TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165054428",
"telephone_number": "814-838-2349",
"fax_number": "814-835-8042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 W 8TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165054428",
"telephone_number": "814-838-2349",
"fax_number": "814-835-8042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESQUE ISLE ORTHOPEDIC LABORATORY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"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": "814-838-0099"
},
"taxonomies": [
{
"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": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "000283567",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008863300003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON HEALTH PLAN",
"identifier": "69236",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02731175",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTHPLAN",
"identifier": "1011839",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0715891",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA/HEALTH ASS",
"identifier": "221020",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS",
"identifier": "000283567",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
- Pamela Ann Presler, M.S.W., L.C.S.W.
- Presque Isle Colon and Rectal Surgery
- Presque Isle Family Medicine
- Presque Isle Mind-Body Wellness Center, PLLC
- Presque Isle Optique LLC
- Presque Isle Psychiatric Associates
- Nicholas J Price
- Cynthia Ann Priester, MS, OTR-L
- Primary Health Network
- Brad Lee Prince, MASSAGE THERAPIST
Sources for this page
- 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.