BOSTON BRACE INTERNATIONAL INC. (NPI# 1790831238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790831238 |
| Entity Type | Organization |
| Organization Name | BOSTON BRACE INTERNATIONAL INC. |
| Other Organization Name | BOSTON ORTHOTICS AND PROSTHETICS |
| Practice Address |
20 Hope Ave Suite 310 Waltham MA 02453-2721 |
| Mailing Address |
20 Ledin Drive Avon MA 02322-1156 |
| Practice Telephone | 7817862900 |
| Practice Fax Number | 7813739527 |
| Mailing Telephone | 5085886060 |
| Mailing Fax Number | 5085592750 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2017-06-19 |
| Authorized Official Name | MR. THOMAS H. MORRISSEY (PRESIDENT & CEO) |
| Authorized Official Telephone | 5085886060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TUFTS | 800081 | 01 | |
| NHP | 0009270 | 01 | |
| AETNA HMO | 887817 | 01 | |
| HARVARD PILGRIM | 701124 | 01 | |
| NETWORK HEALTH | 981339 | 01 | |
| MASSHEALTH | 1537474 | 01 | |
| BCBS OF MASS | 360254 | 01 | |
| AETNA PPO | 830901 | 01 |
| Other Name | Type Code |
|---|---|
| Boston Orthotics & Prosthetics | Doing Business As Name - Organization |
| Boston Orthotics and Prosthetics | Doing Business As Name - Organization |
| 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 |
| 1588202105 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 7301 Forest Ave Ste 202, Richmond, VA 23226-3792 | 2019-12-13 |
| 1255985404 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 17900 Jefferson Park Rd Ste 100, Middleburg Heights, OH 44130-3437 | 2019-07-26 |
| 1003393786 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 30 E 40th St Rm 905, New York, NY 10016-1231 | 2018-07-25 |
| 1437636750 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 207 Hallock Rd Ste 211, Stony Brook, NY 11790-3076 | 2018-07-20 |
| 1053898379 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 5 Franklin Ave Ste 407, Belleville, NJ 07109-3565 | 2018-07-20 |
| 1720580988 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 964 Kinderkamack Rd, River Edge, NJ 07661-2331 | 2018-03-05 |
| 1649778382 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 50 Crestwood Executive Ctr Ste 315, Saint Louis, MO 63126-1900 | 2018-01-29 |
| 1477092492 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 800 Westpoint Pkwy, Ste 1125, Westlake, OH 44145-1573 | 2017-02-23 |
| 1518396183 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 23 Stiles Rd Ste 218, Salem, NH 03079-2854 | 2013-11-05 |
| Street Address |
20 HOPE AVE SUITE 310 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697050 | Solomon A Gabbay | Internal Medicine | 20 Hope Ave, Ste 206, Waltham, MA 02453-2717 | 2005-05-23 |
| 1922422385 | Brianna Bach | Counselor | 20 Hope Ave, Waltham, MA 02453-2721 | 2014-02-05 |
| 1538409727 | Gigi N. Girgis, M.d. | Specialist | 20 Hope Ave, Suite 203, Waltham, MA 02453-2721 | 2013-02-25 |
| 1649515131 | Putnoi Eye Care, P.C. | Ophthalmology | 20 Hope Ave, Suite 212, Waltham, MA 02453-2721 | 2012-12-10 |
| 1538455175 | Nadarron Amritanand-fort | Nurse Practitioner | 20 Hope Ave, Waltham, MA 02453-2721 | 2011-06-22 |
| 1114217171 | Marybeth Ann Mills | Spec/Tech, Cardiovascular | 20 Hope Ave, Suite 204, Waltham, MA 02453-2721 | 2011-04-12 |
| 1033409057 | First Response Clinical Services, LLC | Clinic/Center | 20 Hope Ave, Suite 204, Waltham, MA 02453-2721 | 2011-04-11 |
| 1629370622 | Watch City Optical | Eyewear Supplier (Equipment, not the service) | 20 Hope Ave, Waltham, MA 02453-2721 | 2010-11-23 |
| 1568605426 | Michelle Marie Cournoyer | Physician Assistant | 20 Hope Ave, Suite G06, Waltham, MA 02453-2721 | 2009-04-08 |
| 1205008141 | Wissam Khoory, Md,pc | Internal Medicine | 20 Hope Ave, Suite G03, Waltham, MA 02453-2721 | 2008-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| 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 |
|---|---|---|---|---|
| 1265669477 | Lady Grace Stores, Inc. | Prosthetic/Orthotic Supplier | 108 River St, Waltham, MA 02453-8306 | 2009-06-15 |
| 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.