NORTH SHORE PEDORTHICS LLC NPI 1508045238

NPI Information

  • NPI: 1508045238
  • Provider Name: NORTH SHORE PEDORTHICS, LLC
  • Classification: Orthotist - 222Z00000X
  • Entity Type: Organization
  • Address: 4370 OBERLIN AVE
    SUITE B
    LORAIN, OH
    ZIP 44053
  • Phone: (440) 989-2799

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NPI Details

NORTH SHORE PEDORTHICS, LLC is an orthotist in Lorain, OH. The provider is a health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. NORTH SHORE PEDORTHICS, LLC NPI is 1508045238. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4370 OBERLIN AVE
SUITE B
LORAIN, OH
ZIP 44053-942
Phone: (440) 989-2799
Fax: (440) 989-1127

The provider's authorized official is Dean A. Mason .
The authorized official title is Single Member and has the following contact phone number (440) 989-2799.

The enumeration date for this NPI number is 10/30/2007 and was last updated on 7/14/2015.

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
1222Z00000XOrthotistLO 228 LPED 029OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12068622MEDICAIDOHIO
24305690001MEDICARE NSCOHIO

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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