NPIMap

Organization Active NPI

Bionic Prosthetics and Orthotics Group LLC

  • Prosthetic/Orthotic Supplier
  • Indianapolis, IN
National Provider Identifier
1639061385
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
BIONIC PROSTHETICS AND ORTHOTICS GROUP LLC
Practice address
3935 Eagle Creek Pkwy Ste a
Indianapolis, IN 46254-4690
Phone
(317) 824-9990
Fax
(317) 342-5836
NPI assigned
Jul 17, 2025
Last updated
Jul 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Laura Allen
Title
Contracting Manager
Phone
(336) 482-8231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

3935 Eagle Creek Pkwy Ste a
Indianapolis, IN 46254-4690

Mailing address

PO Box 2300
Valparaiso, IN 46384-2300
Phone (219) 791-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251129000306 IN DME Supplier - Orthotic Personnel 5890992523 Practice locations: Indianapolis, IN

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Bionic Prosthetics and Orthotics GR3935 Eagle Creek Pkwy, Indianapolis, IN 46254-4690(317) 824-9990 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 assignmentParticipating since Jan 1, 2019

National Provider Directory

National Provider Directory
Tax ID family
Bionic Prosthetics and Orthotics Group LLC33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

633 E Ray Rd
Ste 111112
Gilbert, AZ 85296
Phone (480) 299-5177

3230 Executive Dr
Ste 2
Joliet, IL 60431
Phone (219) 791-9200

1290 W Northwest Hwy
Palatine, IL 60067
Phone (224) 801-8092

3130 Windsor Ct
#A
Elkhart, IN 46514
Phone (574) 226-0411

5 Executive Dr
Ste D2
Lafayette, IN 47905
Phone (765) 838-8222

110 Miles Ridge Rd
Madison, IN 47250
Phone (513) 861-3705

104 Woodland Ct
Ste 1
Michigan City, IN 46360
Phone (219) 221-6119

1950 Route 27
Ste G
North Brunswick, NJ 08902
Phone (732) 951-0112

3751 Island Ave
Ste 101
Philadelphia, PA 19153
Phone (215) 334-3816

350 Junction Rd
Madison, WI 53717
Phone (608) 278-9773

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1639061385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2300",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463842300",
            "telephone_number": "219-791-9200",
            "fax_number": "312-268-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 EAGLE CREEK PKWY STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544690",
            "telephone_number": "317-824-9990",
            "fax_number": "317-342-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIONIC PROSTHETICS AND ORTHOTICS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-17",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CONTRACTING MANAGER",
        "authorized_official_telephone_number": "336-482-8231"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.