Prosthetix Shop LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PROSTHETIX SHOP LLC

Doing business as

Prosthetix Shop LLC

Practice address

2853 Broadway
Urbancrest, OH 43123-1400

Phone

(614) 500-4215

Fax

(614) 500-4215

NPI assigned

Apr 7, 2022

Organization subpart

No

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

Authorized official

Name

Concetta Elizabeth Bishop

Title

Office Manager

Phone

(513) 843-5126

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prosthetix Shop LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Prosthetix Shop LLC

  • Prosthetic/Orthotic Supplier
  • Cincinnati, OH
  • NPI 1932446812

  9032364450

  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

Tax ID family

Prosthetix Shop2 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.

• Prosthetix Shop LLC

  • Prosthetic/Orthotic Supplier
  • Cincinnati, OH
  • NPI 1932446812
  NPD tax ID

Locations

Practitioners 2

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

• Megan Marie Albury, L/CPO

  • Prosthetist
  • Urbancrest, OH
  • NPI 1922748136
  NPD
• Aaron Moles, LP

  • Prosthetist
  • Cincinnati, OH
  • NPI 1598009045
  NPD

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1811638208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2853 BROADWAY",
            "city": "URBANCREST",
            "state": "OH",
            "postal_code": "431231400",
            "telephone_number": "614-500-4215",
            "fax_number": "614-500-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2853 BROADWAY",
            "city": "URBANCREST",
            "state": "OH",
            "postal_code": "431231400",
            "telephone_number": "614-500-4215",
            "fax_number": "614-500-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIX SHOP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "CONCETTA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "513-843-5126"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081405",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prosthetix Shop LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Arlene Caplinger
• Desiree Harold, RN
• Andre Hoke
• Alexis Martin, LPCC, LCDC III
• Earle Martin
• Star Express Medical Transportation LLC
• The Counseling and Wellness Center, LLC

• Prosthetic/Orthotic Supplier in Urbancrest, OH
• Providers in Urbancrest, OH by specialty
• Prosthetic/Orthotic Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.