Active NPI
South Beach Orthotics & Prosthetics, LLC
- Prosthetic/Orthotic Supplier
- Sebring, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- SOUTH BEACH ORTHOTICS & PROSTHETICS, LLC
- Practice address
- 4147 Sun N Lake Blvd
Sebring, FL 33872-2131 - Phone
- (863) 658-1291
- Fax
- (863) 658-1419
- NPI assigned
- Oct 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ivan Sabel
- Title
- Ceo
- Phone
- (863) 658-1291
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
4147 Sun N Lake Blvd
Sebring, FL 33872-2131
Mailing address
4147 Sun N Lake Blvd
Sebring, FL 33872-2131
Phone (863) 658-1291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005616800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120821000208 | FL | DME Supplier - Certified Orth/Pros/Pedorthist | 7719196112 | Practice locations: Sebring, FL |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Prosthetic/Orthotic Supplier
- Hialeah, FL
- NPI 1881616720
7719196112
-
- Prosthetic/Orthotic Supplier
- Davie, FL
- NPI 1982985883
7719196112
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| South Beach Orthotics & Prosthetics | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- South Beach Orthotics Prosthetics Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Hialeah, FL
- NPI 1881616720
-
- Prosthetic/Orthotic Supplier
- Davie, FL
- NPI 1982985883
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Sebring, FL
- NPI 1871519363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778716800000",
"number": "1841590734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4147 SUN N LAKE BLVD",
"city": "SEBRING",
"state": "FL",
"postal_code": "338722131",
"telephone_number": "863-658-1291",
"fax_number": "863-884-1593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4147 SUN N LAKE BLVD",
"city": "SEBRING",
"state": "FL",
"postal_code": "338722131",
"telephone_number": "863-658-1291",
"fax_number": "863-658-1419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH BEACH ORTHOTICS & PROSTHETICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-26",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A",
"authorized_official_last_name": "SABEL",
"authorized_official_first_name": "IVAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "863-658-1291"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005616800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.