SHORE PROSTHETICS AND ORTHOTICS LLC – NPI #1083884522
Prosthetic/Orthotic Supplier

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

SHORE PROSTHETICS AND ORTHOTICS LLC is a DME Supplier located in SEVERNA PARK, MD. NPPES has assigned the NPI number 1083884522 to SHORE PROSTHETICS AND ORTHOTICS LLC on March 11, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.

The NPI profile was last updated on May 12, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHORE PROSTHETICS AND ORTHOTICS LLC below.

NPI Profile for
SHORE PROSTHETICS AND ORTHOTICS LLC

NPI Number
1083884522
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SHORE PROSTHETICS AND ORTHOTICS LLC
Primary location
844 RITCHIE HWY
SUITE 202
SEVERNA PARK, MD 21146-4137
Phone: (410) 897-1141 Fax: (866) 294-9581
Mailing address
844 RITCHIE HWY STE 202
SEVERNA PARK, MD 21146-4137
Phone: (410) 897-1141 Fax: (866) 294-9581
Organization Subpart
No
Authorized Official
IVAN SABEL
CEO
Phone: (410) 897-1141
Updated
Certification Date
May 12, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SHORE PROSTHETICS AND ORTHOTICS LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBLUE CROSS BLUE SHIELDMDY393
medicaidMD699336200
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
335E00000X
- Prosthetic/Orthotic Supplier (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.