Healthcare Provider Details

I. General information

NPI: 1992122782
Provider Name (Legal Business Name): TITLEMAN ORTHOPEDICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2014
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 SPROUL RD STE 201
BROOMALL PA
19008
US

IV. Provider business mailing address

PO BOX 801
CONSHOHOCKEN PA
19428
US

V. Phone/Fax

Practice location:
  • Phone: 888-990-2653
  • Fax: 610-862-3927
Mailing address:
  • Phone: 888-990-2653
  • Fax: 610-862-3927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number4249672
License Number StatePA

VIII. Authorized Official

Name: STEFANOS TSAKIRIS
Title or Position: OWNER/GENERAL PARTNER
Credential:
Phone: 610-733-1939