MEDICARE: TRANSCEND ORTHOTICS & PROSTHETICS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548252851
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSCEND ORTHOTICS & PROSTHETICS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 650846
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75265-0846
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17530 DUGDALE DRIVE
Second Line	:
City	:	SOUTH BEND
State	:	IN
Zip	:	46635-1583
Country	:	US
Telephone Number	:	574-233-3352
Fax Number	:	574-288-1514

Authorized Official
Title or Position	:	REGULATORY COMPLIANCE ANALYST II
Name	:	HEATHER PETERS
Credential	:
Telephone Number	:	859-594-2713

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	03/19/2026

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