Orthotic Prosthetic Specialists, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ORTHOTIC PROSTHETIC SPECIALISTS, INC.

Practice address

625 Ridge Rd
Ste D
Munster, IN 46321-1695

Phone

(219) 836-8668

Fax

(219) 836-8778

NPI assigned

Jun 15, 2005

Last updated

Mar 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nichole Broederlow

Title

Billing Manager

Phone

(219) 836-8668

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

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

Orthotic Prosthetic Specialists Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Orthotic Prosthetic Specialists, Inc.

  • Prosthetic/Orthotic Supplier
  • Orland Park, IL
  • NPI 1972451763
  NPD tax ID

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1689679995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 RIDGE RD STE D",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211695",
            "telephone_number": "219-836-8668",
            "fax_number": "219-836-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 RIDGE RD",
            "address_2": "STE D",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211695",
            "telephone_number": "219-836-8668",
            "fax_number": "219-836-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTIC PROSTHETIC SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "BROEDERLOW",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "219-836-8668"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300068651",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orthopaedic Associates of Hammond, Inc. (Orthopaedic Associates of Munster, Inc.)
• Orthopaedic Specialists of Northwest Indiana PC
• Orthopedic Specialists of Northwest Indiana LLC
• Orthospine Monitoring 2 LLC
• Orthospine Monitoring 2 LLC.
• Danielle Yvonne Ortiz, MA
• Gianna Otero
• Ours ABA Indiana Inc
• Roland S. Outarsingh, DDS
• Christina Marie Outlaw, CNS

• Prosthetic/Orthotic Supplier in Munster, IN
• Providers in Munster, IN by specialty
• Prosthetic/Orthotic Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.