Organization Active NPI

Orthotic Prosthetic Specialists, Inc.

  • Prosthetic/Orthotic Supplier
  • Orland Park, IL
National Provider Identifier
1972451763
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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)CodeLicenseStatePrimary
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 Inc2 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.