MIDWEST ORTHOTIC SERVICES LLC NPI 1184992190

NPI Information

NPI: 1184992190
Provider Name: MIDWEST ORTHOTIC SERVICES LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address: 611 E DOUGLAS RD
MISHAWAKA, IN
ZIP 46545
Phone: (574) 204-2416

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NPI Details

MIDWEST ORTHOTIC SERVICES LLC is a prosthetic orthotic supplier in Mishawaka, IN. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. MIDWEST ORTHOTIC SERVICES LLC NPI is 1184992190. The provider is registered as an organization entity type.

The provider's business location address is:

611 E DOUGLAS RD
MISHAWAKA, IN
ZIP 46545-464
Phone: (574) 204-2416

The provider's authorized official is Tim Costello .
The authorized official title is Dir Of Operations and has the following contact phone number (574) 233-3352.

The enumeration date for this NPI number is 12/5/2011 and was last updated on 12/5/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	335E00000X	Prosthetic/Orthotic Supplier				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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