Healthcare Provider Details

I. General information

NPI: 1053221747
Provider Name (Legal Business Name): LEIMKUEHLER ORTHOTIC-PROSTHETIC CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 SPRINGSIDE DR
FAIRLAWN OH
44333-2468
US

IV. Provider business mailing address

205 N LEAVITT RD
AMHERST OH
44001-1124
US

V. Phone/Fax

Practice location:
  • Phone: 330-572-7766
  • Fax: 440-988-5776
Mailing address:
  • Phone: 440-988-5770
  • Fax: 440-988-5776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Z00000X
TaxonomyOrthotist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: PAUL ELMER LEIMKUEHLER
Title or Position: PRESIDENT
Credential:
Phone: 440-988-5770