MEDICARE: AMPLIFY PROSTHETICS & ORTHOTICS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	224P00000X	Prosthetist
2	222Z00000X	Orthotist
3	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1861344129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMPLIFY PROSTHETICS & ORTHOTICS LLC

Provider Business Mailing Address
First Line	:	5602 MARQUESAS CIR STE 210
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34233-3359
Country	:	US
Telephone Number	:	860-816-1802
Fax Number	:

Provider Business Practice Location Address
First Line	:	5602 MARQUESAS CIR STE 210
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34233-3359
Country	:	US
Telephone Number	:	860-816-1802
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	BENJAMIN HIGGS
Credential	:	LCPO
Telephone Number	:	860-816-1802

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	04/23/2026

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