MEDICARE: ORTHOTICS & PROSTHETICS LABORATORIES, INC

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	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1750768867
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOTICS & PROSTHETICS LABORATORIES, INC

Provider Business Mailing Address
First Line	:	300 BIRNIE AVE
Second Line	:	SUITE 303
City	:	SPRINGFIELD
State	:	MA
Zip	:	01107-1107
Country	:	US
Telephone Number	:	413-737-2404
Fax Number	:	413-733-1389

Provider Business Practice Location Address
First Line	:	36 SERVICE CENTER RD
Second Line	:
City	:	NORTHAMPTON
State	:	MA
Zip	:	01060-2575
Country	:	US
Telephone Number	:	413-585-8622
Fax Number	:	413-587-3773

Authorized Official
Title or Position	:	CEO
Name	:	IVAN SABEL
Credential	:
Telephone Number	:	413-737-2404

Provider Enumeration Date	:	04/28/2015
Last Update Date	:	05/12/2026

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