Active NPI
Orthotic Prosthetic Specialists, Inc.
- Prosthetic/Orthotic Supplier
- Orland Park, IL
National Provider Identifier
1972451763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- ORTHOTIC PROSTHETIC SPECIALISTS, INC.
- Practice address
- 10750 W 143Rd St Ste 50
Orland Park, IL 60462-1929 - Phone
- (708) 590-6335
- NPI assigned
- Mar 18, 2026
- Organization subpart
- Yes
- Parent organization
- ORTHOTIC PROSTHETIC SPECIALISTS, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nichole Broederlow
- Title
- Billing Manager
- Phone
- (219) 836-8668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
10750 W 143Rd St Ste 50
Orland Park, IL 60462-1929
Mailing address
10750 W 143Rd St Ste 50
Orland Park, IL 60462-1929
Phone (708) 590-6335
National Provider Directory
National Provider Directory- Tax ID family
- Orthotic Prosthetic Specialists Inc
- Part of
- Orthotic Prosthetic Specialists Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Munster, IN
- NPI 1689679995
Locations
10750 W 143rd St
Ste 50
Orland Park, IL 60462
Phone (708) 364-1600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1972451763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10750 W 143RD ST STE 50",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604621929",
"telephone_number": "708-590-6335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10750 W 143RD ST STE 50",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604621929",
"telephone_number": "708-590-6335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOTIC PROSTHETIC SPECIALISTS, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ORTHOTIC PROSTHETIC SPECIALISTS, INC.",
"enumeration_date": "2026-03-18",
"last_updated": "2026-03-18",
"certification_date": "2026-03-13",
"status": "A",
"authorized_official_last_name": "BROEDERLOW",
"authorized_official_first_name": "NICHOLE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "219-836-8668"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.