Presque Isle Orthotics and Prosthetics of Ohio, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PRESQUE ISLE ORTHOTICS AND PROSTHETICS OF OHIO, LLC

Practice address

14055 Cedar Rd Ste 107
South Euclid, OH 44118-3333

Phone

(216) 371-0660

NPI assigned

Aug 13, 2012

Organization subpart

No

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

Authorized official

Name

Ivan Sabel

Title

Ceo

Phone

(216) 371-0660

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Presque Isle Medical Technologies 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).

• Presque Isle Orthotics and Prosthetics of Ohio, LLC

  • Prosthetic/Orthotic Supplier
  • Skokie, IL
  • NPI 1912307992

  3971739079

  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

Presque Isle Orthotics and Prosthetics of Ohio LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Presque Isle Orthotics and Prosthetics of Ohio, LLC

  • Prosthetic/Orthotic Supplier
  • Silver Spring, MD
  • NPI 1669713467
  NPD tax ID
• Presque Isle Orthotics and Prosthetics of Ohio, LLC

  • Prosthetic/Orthotic Supplier
  • Skokie, IL
  • NPI 1912307992
  NPD tax ID

Locations

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1871840447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14055 CEDAR RD STE 107",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441183333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14055 CEDAR RD STE 107",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441183333",
            "telephone_number": "216-371-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESQUE ISLE ORTHOTICS AND PROSTHETICS OF OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "SABEL",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-371-0660"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0860433-00",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084932",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presque Isle Medical Technologies",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Presque Isle Medical Technologies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Myra J Pollak, LPCC LICDC LSW
• Donna Pollard
• Jasmine Porch
• Tiffany Irene Powell
• Liniece Pratt
• Katharine Marie Price, CDCA
• Shermayle Price
• Tiffany Cherese Primm, PHARMD
• Erica Dawn Prince
• Crystal Gail Pritchard, RN

• Prosthetic/Orthotic Supplier in South Euclid, OH
• Providers in South Euclid, 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 12, 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.