Northern Orthotics & Prosthetics
Organization Active NPI Prosthetic/Orthotic Supplier · Baraga, MI
NPI 1891764403 · NPPES record last updated May 12, 2026
Key facts
- NPI
- 1891764403
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- NORTHERN ORTHOTICS & PROSTHETICS
- Practice address
- 509 S Superior Ave
Baraga, MI 49908-9698 - Phone
- (906) 353-7161
- Fax
- (906) 353-7000
- NPI assigned
- Mar 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Ivan Sabel
- Title
- Ceo
- Phone
- (906) 273-2444
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 3
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Northern 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 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930025874 | MI | DME Supplier - Certified Orth/Pros/Pedorthist | 5890813588 | Practice locations: Baraga, MI |
National Provider Directory
- Tax ID family
- Northern Ortho Pros
Locations
509 S Superior Ave
Baraga, MI 49908
Phone (906) 353-7161
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
509 S Superior Ave
Baraga, MI 49908-9698
Mailing address
509 S Superior Ave
Baraga, MI 49908-9698
Phone (906) 353-7161
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5302Z702540 | Other | MI | MI BLUE CROSS |
| 5090909 | Medicaid | MI |
Other providers in Baraga, MI
- John Matthew Lassila
- Matthew Stephen Lefevre
- Elton Yichao Li
- Theresa Faye Massie
- Kathleen S Mayo
- Northern Sports and Family Chiropractic PLLC
- Kristine Nyquist
- Chung Oh
- Suzan Jeanne Ollila
- Thomas Penfold
All providers in Baraga, MI · Prosthetic/Orthotic Supplier in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.