A Step Ahead Prosthetics and Orthotics

What A Step Ahead Prosthetics and Orthotics does

A Step Ahead Prosthetics and Orthotics, LLC is a privately held, vertically integrated custom prosthetics and orthotics practice founded in 2000/2001 by Erik Schaffer, C.P. The company designs, fabricates, and fits prosthetic limbs and orthotic devices entirely in-house at its Hicksville, New York headquarters and Burlington, Massachusetts facility, with an additional international office in Israel. Its clinical scope spans lower-limb prosthetics (transtibial, transfemoral, partial foot, knee disarticulation), upper-limb prosthetics (body-powered, myoelectric, and hybrid control), osseointegration bone-anchored interfaces (OPRA and OPL systems), anaplastology for hyper-realistic silicone facial and body-part prosthetics, orthotic systems including C-Brace technology, and complex case work such as hemipelvectomy and Van Nes rotationplasty.

The technical foundation combines materials science, in-house 3D printing, a proprietary hyper-realistic silicone lab, custom socket design, and a Bionics Division developed in collaboration with MIT on bionic prosthetics and exoskeletal orthotic systems. An exclusive 4-Inch Fixed High-Heel Cosmetic Prosthetic System is fabricated only in-house. An on-site insurance task force, R&D team, and gait training center complete the integrated care delivery model. Patient populations include pediatric amputees, Paralympic and elite athletes, and complex-case patients often referred after being turned away elsewhere.

Revenue is generated primarily through one-time sales of custom-fabricated prosthetic and orthotic devices, supplemented by ongoing professional services including gait training, adjustments, and insurance coordination. Pricing is quote-based and not publicly disclosed, varying with amputation level, device complexity, and component technology. The go-to-market relies on healthcare provider referrals, direct patient outreach, virtual consultations, and earned media presence, with international patients served via the Israel office. The company is privately held with no disclosed institutional investment.

Name

A Step Ahead Prosthetics and Orthotics

Legal name

A Step Ahead Prosthetics and Orthotics, LLC

Website

https://weareastepahead.com

Company type

Private

Founded year

2000

Operating status

Operating

Headcount range

11–50 employees

Short description

A Step Ahead Prosthetics and Orthotics is a privately held, vertically integrated US practice that designs, fabricates, and fits custom prosthetic limbs, orthotic devices, osseointegration interfaces, and anaplastology products in-house, serving amputees from pediatric to Paralympic athletes across facilities in New York, Massachusetts, and Israel.

Ownership category

akta.pro rank

Product category

Prosthetics and Orthotics Services

NAICS

Surgical Appliance and Supplies Manufacturing (339113)

SIC

Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842)

akta.pro primary industry

Limb Prosthetics (Upper/Lower Extremity Prosthetic Systems) (HLAHAEAH)

akta.pro secondary industries

Orthotics & Bracing (Spinal/Lower/Upper Extremity Orthoses) (HLAHAEAI), Prosthetic Components & Rehabilitation Accessories (Liners, Feet, Knees, Sockets) (HLAHAMAD)

Keywords

• Custom prosthetic devices
• Orthotic rehabilitation services
• Anaplastology silicone prosthetics
• Osseointegration prosthetics
• Prosthetic fabrication services

Headquarters

HQ city

Hicksville

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Supply Chain, Marketing or Sales, Infrastructure

Revenue model

1. Custom Prosthetic Devices: One-time fabrication and sale of custom prosthetic limbs and components tailored to individual patient specifications, including sockets, joints, feet, and terminal devices
2. Orthotic Devices: Sale of custom-fitted orthotic devices including C-Brace systems for stability, mobility, and rehabilitation support
3. Anaplastology Services: Fabrication of hyper-realistic prosthetic body parts including noses, ears, fingers, toes, and cosmetic silicone skin covers
4. Ongoing Prosthetic Care and Adjustments: Continuous patient care including gait training, prosthetic adjustments, follow-up consultations, and ongoing support services
5. Insurance Coordination Services: In-house insurance task force providing verification, claims submission, appeals, and coverage guidance services

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels10 records

Core offering

A Step Ahead Prosthetics and Orthotics designs, fabricates, and fits custom prosthetic and orthotic devices for individual amputees and orthotic patients. All fabrication is performed in-house across lower limb prosthetics, upper limb prosthetics, osseointegration bone-anchored systems, hyper-realistic silicone anaplastology, complex/unique amputation cases, orthotic devices including C-Brace systems, and specialty offerings such as fixed high-heel prosthetic feet and doll prosthetics.

Product overview

A Step Ahead Prosthetics and Orthotics offers a comprehensive portfolio of custom prosthetic and orthotic solutions designed, fabricated, and fitted entirely in-house at their New York and Massachusetts facilities. The core offerings include Lower Limb Prosthetics (above-knee, below-knee, partial foot) and Upper Limb Prosthetics (shoulder, above/below elbow, partial hand), complemented by specialized services such as Osseointegration (bone-anchored systems), Anaplastology (hyper-realistic silicone prosthetics), and Unique Cases (hemipelvectomy, hip disarticulation, rotationplasty). Add-on capabilities include Custom 3D Printing for decorative covers and Custom Socket Design for artistic personalization, while the exclusive Fixed High-Heel Prosthetic Feet address a specific niche market. Orthotic solutions including C-Brace technology, Virtual Consultation services, and Doll Prosthetics for pediatric patients round out the portfolio. The company operates hyper-realistic silicone labs, in-house R&D, and an insurance task force to provide comprehensive care under one roof.

Differentiator

Problem solved

Functional benefit

Products and services

• Lower Limb Prosthetics Custom-fabricated prosthetic limbs for below-knee (transtibial), above-knee (transfemoral), partial foot, toe, and knee disarticulation amputations, featuring various foot and knee component options including microprocessor-controlled joints. Targeted at individual amputees seeking restored mobility for daily life, sports, and high-performance activities.
• Upper Limb Prosthetics Custom prosthetic arms for shoulder-level, above-elbow (transhumeral), below-elbow (transradial), and partial hand/finger amputations, available with body-powered, myoelectric, or hybrid control systems. Designed for individual amputees needing functional and cosmetic restoration of the upper limb.
• Osseointegration (OPRA and OPL Systems) Bone-anchored prosthetic interface systems (OPRA and OPL) that allow amputees to attach prostheses directly to the skeleton for enhanced comfort, functionality, and extended wear time compared to traditional socket prosthetics. Targeted at amputees seeking an alternative to socket-based suspension.
• Anaplastology (Silicone Prosthetics) Fabrication of hyper-realistic silicone prosthetic body parts including noses, ears, fingers, toes, and cosmetic covers for limbs, featuring custom skin-tone matching for lifelike appearance. Targeted at individuals requiring cosmetic or functional restoration of facial features, digits, or limb covers.
• Unique Cases (Complex Amputations) Complex prosthetic solutions for rare amputation levels including hemipelvectomy, hip disarticulation, and Van Nes rotationplasty cases. Designed for patients whose amputation level or anatomy is typically declined by other providers.
• Orthotics (including C-Brace) Supportive orthotic systems including C-Brace technology for stability, mobility enhancement, and rehabilitation support. Targeted at individuals requiring orthotic devices for conditions affecting movement.
• Fixed High-Heel Prosthetic Feet Exclusive 4-inch cosmetic prosthetic system designed for wearing high heels, custom fabricated in-house only at A Step Ahead Prosthetics. Targeted at amputees seeking a specialized cosmetic lifestyle solution unavailable from other providers.
• Doll Prosthetics Custom prosthetic solutions for American Girl dolls and similar collectible dolls, helping children with limb differences relate to their own prosthetic journey. Targeted at pediatric patients and their families.

Quantifiable outcome

• Complete prosthetic delivery often within days compared to industry standard of months
• +3 more outcomes

Named customers6 records

Segments7 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

Three partnerships are on record, tiered core.

• MITcoreStrategic or Co-development PartnerCollaboration with MIT on bionic prosthetics and exoskeletal orthotic systems. Erik Schaffer has served as advisor on the development of bone-anchored osseointegration prosthetics and participated in prosthetic research projects including studies on efficiency of amputee athletes and reliability of gait recording systems.
• Paralympic GamescoreStrategic or Co-development PartnerFounder Erik Schaffer served as Prosthetic Repair Coordinator at the Paralympic Summer Games in Atlanta, Georgia. Company continues to serve Paralympic athletes and provides prosthetic support at various athletic events.
• Technology Partners (Manufacturers)coreTechnology or IntegrationClose collaboration with prosthetic and orthotic manufacturers to integrate the latest technologies. Works with manufacturers, doctors, and patients to seamlessly integrate the latest prosthetic technologies and medical advancements into patient care.

Scale indicators5 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Fillauer Companies: US-based manufacturer of prosthetic and orthotic components (feet, knees, terminal devices) and clinical care services; competes with A Step Ahead in custom prosthetic component selection and fabrication.
• Össur: Global prosthetics manufacturer and clinical solutions provider; competes with A Step Ahead through its bionic knee/foot components, upper-limb solutions, and direct clinician relationships in lower-limb prosthetics.
• College Park Industries: Specialist manufacturer of prosthetic feet and lower-limb systems, including high-performance and pediatric feet; directly competes for activity-specific and lifestyle prosthetic prescriptions served by A Step Ahead.
• Ability Prosthetics & Orthotics: Multi-location US O&P provider delivering custom prosthetics and orthotics with in-house fabrication; comparable patient-care and clinical-services model, though broader Pennsylvania/Mid-Atlantic footprint.
• Next Step Bionics & Prosthetics: Independent US prosthetic practice specializing in bionic/microprocessor and complex cases; directly comparable to A Step Ahead in clinical focus on advanced lower-limb devices and athletic amputee outcomes.
• Hanger Clinic: Largest US operator of patient-care prosthetics and orthotics clinics with nationwide locations; directly competes with A Step Ahead for custom lower/upper limb prosthetics, complex cases, and insurance-reimbursed care, but is a much larger multi-site network.

Broad incumbents

• Ottobock: Global incumbent in prosthetics and orthotics with C-Brace technology referenced by A Step Ahead; competes broadly across lower-limb, upper-limb, and bionic systems while also being a key component supplier to the practice.

Emerging players

• Naked Prosthetics: Specialty manufacturer of functional partial-hand/finger prostheses; overlaps with A Step Ahead's upper-limb and partial-hand offerings but focuses on a narrower body-powered finger prosthetic niche.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xtwitter.com/AStepAhead_PO
• YouTubeyoutube.com/user/astepaheadonline
• Facebookfacebook.com/AStepAheadProsthetics
• Instagraminstagram.com/astepaheadprosthetics
• Pinterestpinterest.com/astepaheadprosthetics
• TikToktiktok.com/@astepaheadprosthetics
• LinkedInlinkedin.com/company/a-step-ahead-prosthetics

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about A Step Ahead Prosthetics and Orthotics