Founded by prosthetist Erik Schaffer in 2000, A Step Ahead Prosthetics and Orthotics is known for taking on complex limb-loss cases and tailoring care to each patient, from children to Paralympic athletes. The company serves patients at facilities in New York and Massachusetts, where it fabricates custom prosthetic and orthotic devices in-house. Since 2015, it has also partnered with American Girl to create prosthetic dolls for children with limb differences.