Orthotic Prosthetic Solutions LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ORTHOTIC PROSTHETIC SOLUTIONS LLC

Practice address

2600 Belle Chasse Hwy Ste C
Gretna, LA 70056-7156

Phone

(504) 269-3915

Fax

(504) 324-0820

NPI assigned

Jun 14, 2024

Last updated

Feb 25, 2025By 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

Dandre Shondale Mostella

Title

Owner

Phone

(225) 316-5444

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

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

• Orthotic & Prosthetic Solutions LLC

  • Prosthetic/Orthotic Supplier
  • Baton Rouge, LA
  • NPI 1033746961

  2769803071

  Same PAC ID
• Orthotic & Prosthetic Solutions LLC

  • Prosthetic/Orthotic Supplier
  • Shreveport, LA
  • NPI 1184219875

  2769803071

  Same PAC ID
• Orthotic & Prosthetic Solutions LLC

  • Prosthetic/Orthotic Supplier
  • Mobile, AL
  • NPI 1518610062

  2769803071

  Same PAC ID
• Orthotic & Prosthetic Solutions LLC

  • Prosthetic/Orthotic Supplier
  • Jackson, MS
  • NPI 1962014100

  2769803071

  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

Locations

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1760225148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7754 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064706",
            "telephone_number": "225-316-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 BELLE CHASSE HWY STE C",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567156",
            "telephone_number": "504-269-3915",
            "fax_number": "504-324-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTIC PROSTHETIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "MOSTELLA",
        "authorized_official_first_name": "DANDRE",
        "authorized_official_middle_name": "SHONDALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-316-5444"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jamie Park, PA-C

• Prosthetic/Orthotic Supplier in Gretna, LA
• Providers in Gretna, LA by specialty
• Prosthetic/Orthotic Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.