What Prosthetic & Orthotic Associates does

Prosthetic & Orthotic Associates (POA) is a private clinical practice founded in 1989 in Middletown, New York by Tom Passero, CP, a bilateral lower-limb amputee who redirected his career after being unable to find adequate prosthetic care. The practice designs, fabricates, and fits custom prosthetic and orthotic devices for patients with limb loss, limb difference, and orthotic needs, spanning lower-limb prosthetics, upper-limb prosthetics (via the Handspring Clinical Services specialty division), adult and pediatric orthotics, and cranial remolding helmets for infants with plagiocephaly.

POA operates four clinic locations across New York (Middletown, Kingston, Poughkeepsie) and Pennsylvania (Milford, opened 2025), with co-location at MidHudson Regional Hospital enabling integrated referral flow with physical therapy practices. The practice maintains an in-house fabrication lab and has invested in digital manufacturing capability, including CAD/CAM socket design since 1990 (via Shapemaker), 3D printing via Filament Innovations (2021) and Bambu systems, and Orten Shape 3D scanning technology (2023). Components are sourced from leading manufacturers including Otto Bock, Ossur, College Park, Fillauer, WillowWood, Click Medical, Orthomerica, and Touch Bionics/Ossur Upper Limb. POA is in the top 5% of cranial providers nationally and holds ABC facility accreditation at the highest level across all clinical locations.

The business model is fee-for-service clinical care with revenue generated from custom device sales and professional fitting services reimbursed through Medicare, Medicaid, Workers' Compensation, Veterans Administration benefits, and commercial insurance plans. Free initial consultations support patient acquisition, while hospital co-location, physician/therapist referral networks, and direct-to-patient digital marketing (website, Facebook, Instagram) drive patient flow. The practice has served thousands of individuals across the Hudson Valley, Catskill, and Pocono regions over 35+ years.

Name

Prosthetic & Orthotic Associates

Legal name

Prosthetic & Orthotic Associates, Inc.

Website

https://poaprosthetics.com

Company type

Private

Founded year

1989

Operating status

Operating

Headcount range

11–50 employees

Short description

Prosthetic & Orthotic Associates is a private clinical practice founded in 1989 that designs, fabricates, and fits custom prosthetic and orthotic devices across four clinic locations in New York and Pennsylvania, serving patients with limb loss, limb difference, and orthotic needs.

Ownership category

akta.pro rank

Product category

Prosthetic and Orthotic Services

NAICS

Offices of Physical, Occupational and Speech Therapists, and Audiologists (62134)

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), Orthotics & Bracing (AFO/KAFO, Spinal, Soft Goods Supports) (HLAHAMAC), Prosthetic Components & Rehabilitation Accessories (Liners, Feet, Knees, Sockets) (HLAHAMAD), Amputee & Prosthetic Rehabilitation Programs (HLAFAFAL), Prosthetics/Orthotics Rehab & Amputee Rehabilitation (HSADAIAN)

Keywords

• Custom prosthetic services
• Orthotic devices fabrication
• Limb replacement care
• Pediatric orthotic solutions
• Cranial remolding therapy

Headquarters

HQ city

Middletown

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Prosthetic Device Sales and Fitting: POA designs, fabricates, and fits custom prosthetic limbs for patients with limb loss. Revenue is generated through the sale of prosthetic devices and components, billed to insurance or patients directly. The practice accepts Medicare, Medicaid, Workers' Compensation, Veterans Administration benefits, and most private insurance plans.
2. Orthotic Device Sales and Fitting: POA provides orthotic devices including adult orthotics, pediatric orthotics (SMOs, AFOs), and cranial remolding helmets (STARband). These devices are custom-fabricated or fitted and billed through insurance.
3. Insurance Reimbursement: As a healthcare provider, the majority of POA's revenue comes from insurance reimbursement across Medicare, Medicaid, Workers' Compensation, VA benefits, and commercial insurance plans. The administrative team manages authorizations and claims processing.
4. Professional Clinical Services: Clinical services including evaluations, consultations (free initial consultations), socket fittings, adjustments, gait training, and rehabilitation support. These professional services are billed to insurance as part of the overall device provision.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels6 records

Core offering

Prosthetic & Orthotic Associates (POA) designs, fabricates, and fits custom prosthetic limbs (lower and upper) and orthotic devices for patients with limb loss, limb difference, or musculoskeletal conditions. Services span adult and pediatric orthotics, cranial remolding helmets, microprocessor-controlled components, and post-amputation rehabilitation, delivered across four clinic locations in New York and Pennsylvania.

Product overview

Prosthetic & Orthotic Associates (POA) offers a comprehensive portfolio of prosthetic and orthotic products and services. The core offerings include Lower Limb Prosthetics, Upper Limb Prosthetics (through the Handspring Clinical Services division), Adult Orthotics, and Pediatric Orthotics, all customized for individual patient needs. Supporting services include Cranial Remolding helmets for infants, the Advanced Design program featuring 3D printing and scanning capabilities, the Excelerated Care Program for expedited fittings, Lower Limb Rehabilitation, and socket creation using CAD technology. Additional specialized offerings include Removable Rigid Dressing (RRD) for post-amputation care, Gait Analysis for outcome measurement, and Legal Consultation Services. The company operates multiple clinic locations across New York and Pennsylvania, serving the Hudson Valley, Catskill, and Pocono regions.

Differentiator

Problem solved

Functional benefit

Brands

• Handspring: Upper limb prosthetics specialty division launched in 2012, serving patients primarily in New York and Colorado

Products and services

• Lower Limb Prosthetics Custom-designed prosthetic solutions for patients who have undergone transtibial (below-knee) or transfemoral (above-knee) amputations, including microprocessor knees, activity-specific prostheses, suction and vacuum suspension systems, and adjustable socket technologies.
• Upper Limb Prosthetics Specialized prosthetic care for upper limb amputations and differences delivered through the Handspring Clinical Services division, including myoelectric hands (e.g., i-Limb Quantum), body-powered hooks, and custom cosmetic restorations, primarily serving patients in New York and Colorado.
• Adult Orthotics Custom orthotic devices for adult patients, including AFOs, KAFOs, C-braces, and other bracing solutions designed to enhance mobility, correct alignment, support joints, and aid rehabilitation for conditions such as stroke recovery, degenerative disease, and spinal cord injury.
• Pediatric Orthotics Custom orthotic solutions for children, including Supra-Malleolar Orthotics (SMOs), Ankle-Foot Orthotics (AFOs), and other devices designed to support development, mobility, and gait in pediatric patients with developmental or congenital conditions.
• Cranial Remolding Custom cranial remolding orthoses (helmets) for infants with plagiocephaly or related head-shape conditions, using STARband technology from Orthomerica. POA is in the top 5% of cranial providers nationally and holds All-Star Certified Orthotist credentials.
• Excelerated Care Program Streamlined expedited fitting program available at the Middletown clinic that significantly reduces the time patients wait to receive their custom prosthesis.
• Lower Limb Rehabilitation Comprehensive rehabilitation support for lower limb patients including post-amputation care, shrinker regimens, gait training, physical therapy coordination, and ongoing alignment adjustments.
• Removable Rigid Dressing (RRD) Custom thermoplastic post-amputation dressing developed in partnership with the Rehabilitation Institute of Chicago, designed to protect the residual limb, reduce edema, accelerate healing, and shrink residual limbs in preparation for prosthetic fitting.
• Pre-Amputation Consultation Pre-surgical consultations to help patients plan ahead, explore prosthetic options, and create a rehabilitation plan before amputation surgery, improving long-term prosthetic readiness.
• Legal Consultation Services Expert witness and legal consultation services related to limb loss, including life care plan development for workers' compensation cases.

Quantifiable outcome

• Initial prosthetic fitting typically takes 3-6 weeks from design through custom fabrication and delivery.
• +4 more outcomes

Named customers10 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Ten partnerships are on record, tiered core and minor.

• MidHudson Regional HospitalcoreStrategic or Co-development PartnerPOA's Poughkeepsie clinic is located within MidHudson Regional Hospital (WMCH). This co-location enables close collaboration with the hospital's medical teams, physical therapy practice (Therapy Connection), and streamlined patient care across disciplines.
• Shriners Children'sminorStrategic or Co-development PartnerShriners Children's provides prosthetic care to children and has referred patients transitioning to private practice to POA. Mike Garone was initially fitted with a Total Knee donated by Shriners before coming to POA.
• 209 MedicalminorChannel Partner/ Reseller/ DistributorPOA's Milford, PA clinic is located in the 209 Medical building, a healthcare facility that provides office space for medical practitioners serving the Pike County/Poconos region.
• Rehabilitation Institute of Chicago (RIC) / Northwestern UniversityminorStrategic or Co-development PartnerPOA's Removable Rigid Dressing (RRD) system was developed at RIC by Dr. Yeongchi Wu and Harold Crick, CP. Several POA clinicians trained at the RIC-affiliated Northwestern University Medical School's Prosthetic and Orthotic Program.
• American Board for Certification in Orthotics and Prosthetics (ABC)coreTechnology or IntegrationAll POA practitioners are certified by ABC. All clinical locations hold ABC facility accreditation at the highest level. ABC is officially recognized by Medicare and other payors for evaluating O&P clinics.
• Handspring Clinical ServicescoreStrategic or Co-development PartnerHandspring is the upper limb prosthetics specialty division of POA, founded in 2012. It focuses exclusively on upper limb prosthetic care and serves patients in New York and Colorado. Managing Partner Laura Katzenberger leads Handspring with expertise in upper limb prosthetics from Touch Bionics.
• GiftAbility Inc.minorStrategic or Co-development PartnerNonprofit organization that helped make a running prosthesis possible for pediatric patient Arabella. POA collaborated with GiftAbility to provide Arabella with proper prosthetic technology for running.
• Challenged Athletes Foundation (CAF)minorStrategic or Co-development PartnerNonprofit supporting athletes with physical challenges. Listed as a community partner on POA's patient resources page.
• Hudson Valley Foot AssociatesminorChannel Partner/ Reseller/ DistributorPOA's Kingston clinic shares building space with Hudson Valley Foot Associates, enabling cross-referrals and integrated care for patients with foot and ankle conditions.
• Therapy ConnectionminorStrategic or Co-development PartnerPhysical therapy practice located across the hall from POA's Poughkeepsie clinic at MidHudson Regional Hospital, enabling integrated rehabilitation care.

Scale indicators4 records

Recent moves9 records

Expansion highlights6 records

Others

• Ottobock: Global manufacturer of prosthetic components including the C-Leg and X3 microprocessor knees, whose products are used extensively by POA. Functions as a key upstream supplier and ecosystem participant rather than a direct clinical competitor, but its products define the technological baseline POA competes against.
• Shriners Children's (Prosthetic Services): Pediatric specialty hospital system that provides pediatric prosthetic and orthotic care, including upper and lower limb prosthetics, and has referred patients transitioning to private practice to POA. Comparable to POA's pediatric offering and serves as a referral feeder rather than a direct competitor.

Direct peers

• Clark & Associates Prosthetics & Orthotics: Regional O&P provider with multiple clinic locations across the Midwest offering custom prosthetics, orthotics, and pediatric care including cranial remolding. Comparable to POA as a multi-clinic clinical practice serving similar patient segments and payor mix.
• Ability Prosthetics & Orthotics: Multi-state regional O&P clinical practice offering custom prosthetic and orthotic services with an emphasis on advanced technology and personalized patient care. Closely comparable to POA in clinical model, mix of adult and pediatric services, and focus on microprocessor knees and myoelectric devices.
• Fourroux Prosthetics: Multi-location U.S. O&P practice specializing in custom prosthetics with an emphasis on advanced socket design, microprocessor components, and active-patient outcomes. Comparable to POA in clinical focus on lower-limb prosthetics, advanced components, and technology-forward patient care.
• Arimed Orthotics & Prosthetics: Regional O&P clinical practice offering custom prosthetic limbs, orthotic devices, and pediatric orthotic services across multiple locations. Comparable to POA as a multi-clinic clinical practice serving similar adult and pediatric patient segments.
• Beacon Prosthetics & Orthotics: U.S. O&P clinical practice providing custom prosthetic and orthotic devices with a focus on advanced componentry and patient outcomes. Comparable to POA in clinical offerings, technology emphasis, and personalized care model.
• Level 4 Orthotics & Prosthetics: Multi-clinic O&P provider delivering custom prosthetics and orthotics for adult and pediatric patients, including microprocessor-controlled components. Comparable to POA in service mix, advanced technology adoption, and clinic-based delivery model.
• Teter Orthotics & Prosthetics: Multi-clinic O&P practice offering prosthetic and orthotic services with strong pediatric and adult cranial remolding programs. Comparable to POA in clinical service mix, including pediatric orthotics and STARband cranial helmet therapy.

Broad incumbents

• Hanger Clinic: The largest U.S. provider of prosthetic and orthotic services, operating a national clinic network offering custom prosthetic limbs, orthotic devices, and rehabilitation services. Directly comparable to POA across core clinical services, but with vastly greater geographic reach, payor leverage, and operational scale.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xinstagram.com/poaprosthetics
• YouTubeyoutube.com/@handspringclinicalservices6262
• Facebookfacebook.com/ProstheticandOrthoticAssociates
• Instagraminstagram.com/poaprosthetics

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Subsidiaries2 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 Prosthetic & Orthotic Associates