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

3700 Oakton St Ste 103
Skokie, IL 60076-3407

Phone

(773) 432-7616

Fax

(773) 432-7616

NPI assigned

Aug 27, 2014

Organization subpart

Yes

Parent organization

PRESQUE ISLE ORTHOTICS AND PROSTHETICS OF OHIO, LLCAs reported in NPPES

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 1

Addresses

Other names 1

• Presque Isle Medical Technologies Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

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
  • South Euclid, OH
  • NPI 1871840447

  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

Part of

Presque Isle Orthotics and Prosthetics of Ohio LLC

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
  • South Euclid, OH
  • NPI 1871840447
  NPD tax ID

Locations

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1912307992",
    "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",
            "telephone_number": "216-371-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 OAKTON ST STE 103",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763407",
            "telephone_number": "773-432-7616",
            "fax_number": "773-432-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESQUE ISLE ORTHOTICS AND PROSTHETICS OF OHIO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESQUE ISLE ORTHOTICS AND PROSTHETICS OF OHIO, LLC",
        "enumeration_date": "2014-08-27",
        "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": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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"
        }
    ]
}

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• Brandon Lee Pressley-Williams, NP
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• Lauren Pridgeon
• Clifford Prince, DDS
• Julius Prince, DMD

• Prosthetic/Orthotic Supplier in Skokie, IL
• Providers in Skokie, IL by specialty
• Prosthetic/Orthotic Supplier in Illinois

• 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.