Organization Active NPI

Orthotic and Prosthetic Designs, LLC

  • Prosthetic/Orthotic Supplier
  • Indianapolis, IN
National Provider Identifier
1760742274
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ORTHOTIC AND PROSTHETIC DESIGNS, LLC
Practice address
5120 Commerce Cir Ste 104
Indianapolis, IN 46237-9717
Phone
(317) 882-9002
Fax
(317) 882-9003
NPI assigned
May 18, 2012
Organization subpart
Yes
Parent organization
ORTHOTIC AND PROSTHETIC DESIGNS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Julie Kean
Title
Partner
Phone
(812) 372-9002

Specialties & licenses 1

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

Addresses

Primary practice location

5120 Commerce Cir Ste 104
Indianapolis, IN 46237-9717

Mailing address

3200 Sycamore CT Ste 2B
Columbus, IN 47203-1552
Phone (812) 372-9002

Other practice location 1

3200 Sycamore Ct Ste 2B
Columbus, IN 47203-1552
Phone (812) 372-9002

Other identifiers 5

IdentifierTypeStateIssuer
000000306652OtherINANTHEM
035386POtherINSIHO
200469430AMedicaidIN
201528OtherINCHILDREN'S SPECIAL HEALTH CARE SERVICES
200735370AOtherINFIRST STEPS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130205000330 IN DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic-Prosthetic 8527274356 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
Orthotic and Prosthetic Designs, LL5120 Commerce Cir, Indianapolis, IN 46237-9717(317) 882-9002 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 Does not accept assignmentParticipating since Sep 24, 2003

National Provider Directory

National Provider Directory
Part of
Orthotic and Prosthetic Designs LLC

Locations

3200 Sycamore Ct
Ste 2B
Columbus, IN 47203
Phone (812) 372-9002

5120 Commerce Cir
Ste 104
Indianapolis, IN 46237
Phone (317) 882-9002

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1760742274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SYCAMORE CT STE 2B",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472031552",
            "telephone_number": "812-372-9002",
            "fax_number": "812-372-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 COMMERCE CIR STE 104",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462379717",
            "telephone_number": "317-882-9002",
            "fax_number": "317-882-9003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Sycamore Ct Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472031552",
            "country_code": "US",
            "telephone_number": "812-372-9002",
            "fax_number": "812-372-9088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHOTIC AND PROSTHETIC DESIGNS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOTIC AND PROSTHETIC DESIGNS, LLC",
        "enumeration_date": "2012-05-18",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "KEAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "812-372-9002"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000306652",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "035386P",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200469430A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDREN'S SPECIAL HEALTH CARE SERVICES",
            "identifier": "201528",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST STEPS",
            "identifier": "200735370A",
            "state": "IN"
        }
    ],
    "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 Aug 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.