MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC (NPI# 1023487618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023487618 |
| Entity Type | Organization |
| Organization Name | MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC |
| Practice Address |
500 Lincoln St Boston MA 02134-1536 |
| Mailing Address |
2421 Linden Ln Silver Spring MD 20910-1230 |
| Practice Telephone | 6172088468 |
| Practice Fax Number | 6172088506 |
| Mailing Telephone | 3015855347 |
| Mailing Fax Number | 3015854383 |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | MICHAEL CORCORAN (CEO) |
| Authorized Official Telephone | 3015855347 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306470687 | Medical Center Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 4600 Wilkens Ave Ste 105, Baltimore, MD 21229-4843 | 2020-02-26 |
| 1144611302 | Medical Center Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 3232 Georgia Ave Nw Ste 103, Washington, DC 20010-3084 | 2015-02-10 |
| 1669880027 | Medical Center Orthotics and Prosthetics, LLC | Durable Medical Equipment & Medical Supplies | 2012 Renard Ct, Suite G, Annapolis, MD 21401-6761 | 2014-07-30 |
| 1356951651 | Medical Center Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 224d Cornwall St Nw, Leesburg, VA 20176-2713 | 2020-08-03 |
| 1336172196 | Medical Center Orthotics and Prosthetics, LLC | Orthotist | 199 Reedsdale Rd, Milton, MA 02186 | 2006-07-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC | 2421 Linden Ln, Silver Spring, MD 20910-1230 |
| Street Address |
500 LINCOLN ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02134-1536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164070165 | Regina Levkovich | Social Worker | Spaulding Nursing and Therapy Center-brighton, 100 North Beacon Street, Brighton, MA 02134 | 2019-09-03 |
| 1851951487 | Bridget Rene Hunt | Specialist/Technologist | 47 N Harvard St, Allson, MA 02134 | 2019-06-17 |
| 1710457577 | Karla Lizbet Rivas | Psychologist | 44 Mansfield St, Allston, MA 02134 | 2018-12-04 |
| 1730698549 | Samantha Krevalin | Counselor | 52 Brainerd Rd, Allston, MA 02134 | 2017-09-25 |
| 1053834788 | Matthew Blythe Gradin | Counselor | 14 Fordham Road, Allston, MA 02134 | 2017-07-25 |
| 1962877498 | Julia Gearing | Skilled Nursing Facility | 36 Quint Ave Apt 16, Allston, MA 02134 | 2015-12-09 |
| 1518367101 | Laura Domanico | Counselor | 250 Lincoln St, Allston, MA 02134 | 2014-09-02 |
| 1194153403 | Misato Nishijima | Social Worker | 14 Fordham Rd., Arbour Counseling Services of Allston, Allston, MA 02134 | 2013-10-23 |
| 1760732218 | Chester Fred Bowen IIi | Counselor | 40 N. Beacon St, Allston, MA 02134 | 2012-09-12 |
| 1023329414 | Mab Community Services, Inc | Day Training, Developmentally Disabled Services | 29 Denby Rd, Allston, MA 02134 | 2010-06-30 |
| Find all providers in zip 02134 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | 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. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619969037 | Rogerson Orthopedic Appliances Inc | Prosthetic/Orthotic Supplier | 483 Southampton St, Boston, MA 02127-2732 | 2005-08-22 |
| 1881183887 | New England Orthotic & Prosthetic Systems, LLC | Prosthetic/Orthotic Supplier | 260 Tremont St, Boston, MA 02116-5603 | 2018-05-04 |
| 1710138821 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 330 Brookline Ave, 2nd Floor, Boston, MA 02215-5400 | 2008-10-07 |
| 1104961606 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 319 Longwood Ave, Suite 102, Boston, MA 02115-5724 | 2007-02-21 |
| 1689632150 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 300 Longwood Ave, Boston, MA 02115-5724 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261913 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 372 Chandler St Ste 104, Worcester, MA 01602-3314 | 2020-09-29 |
| 1952961054 | Esteem Hair | Prosthetic/Orthotic Supplier | 43 Pearl St Apt 2, Dorchester, MA 02125-1815 | 2019-06-19 |
| 1477042489 | New England Orthotic & Prosthetic Systems, LLC | Prosthetic/Orthotic Supplier | 801 Main St Ste 8, Concord, MA 01742-3319 | 2018-05-04 |
| 1134636426 | Orthotics & Prosthetics Laboratories, Inc. | Prosthetic/Orthotic Supplier | 3500 Main St Ste 1, Springfield, MA 01107-1150 | 2018-01-08 |
| 1508317694 | Balance Salon, Inc | Prosthetic/Orthotic Supplier | 535 College Hwy, Southwick, MA 01077-9813 | 2016-10-24 |
| 1184083073 | Pioneer Valley Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 139 Damon Rd, Ste B11, Northampton, MA 01060-1832 | 2016-02-19 |
| 1598130239 | Boston Brace International Inc | Prosthetic/Orthotic Supplier | 2 Centennial Dr Ste 340b, Peabody, MA 01960-7919 | 2015-12-07 |
| 1306223417 | Orthotics & Prosthetics Laboratories, Inc. | Prosthetic/Orthotic Supplier | 700 North St, Unit 2, Pittsfield, MA 01201-4153 | 2015-04-28 |
| 1386047710 | Footit Medical Supply, Inc | Prosthetic/Orthotic Supplier | 340 Memorial Ave, West Springfield, MA 01089-4008 | 2014-09-30 |
| 1861747974 | A Step Ahead-boston, LLC | Prosthetic/Orthotic Supplier | 21 A Street, Burlington, MA 01803 | 2012-07-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.