CORNELL ORTHOTICS AND PROSTHETICS, INC (NPI# 1366444739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366444739 |
| Entity Type | Organization |
| Organization Name | CORNELL ORTHOTICS AND PROSTHETICS, INC |
| Practice Address |
100 Cummings Ctr Suite 207h Beverly MA 01915-6115 |
| Practice Telephone | 9789222866 |
| Practice Fax Number | 9789220277 |
| Mailing Telephone | 9789222866 |
| Mailing Fax Number | 9789220277 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2013-01-08 |
| Authorized Official Name | MR. KEITH DONALD CORNELL (PRESIDENT) |
| Authorized Official Telephone | 9789222866 |
| Authorized Official Credential | C.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | ========= | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1527975 | 05 | |
| MA | TUFTS MEDICARE PREFERRED | 801259 | 01 |
| MA | NEIGHBORHOOD HEALTH PLAN | 8853 | 01 |
| MA | BCBS | 355654 | 01 |
| MA | HARVARD | 700854 | 01 |
| MA | TUFTS | 801259 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841387586 | Cornell Orthotics and Prosthetics, Inc | Prosthetic/Orthotic Supplier | 4 Centennial Dr, 103, Peabody, MA 01960-7935 | 2006-10-06 |
| Street Address |
100 CUMMINGS CTR SUITE 207H |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915-6115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013878 | Amanda Finn | Behavioral Analyst | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-11-06 |
| 1477153336 | Chris Vecchio | Behavior Technician | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-10-29 |
| 1316544653 | Keyshanna Edwards | Behavior Technician | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-10-08 |
| 1649885930 | Taryn May Andrews | Behavior Technician | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-09-13 |
| 1538771548 | Karenah Renee Harewood | Assistant Behavior Analyst | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-08-20 |
| 1750991501 | Emilia Ronchi | Behavioral Analyst | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-08-06 |
| 1609491067 | Sophia Teresa Cawlina | Behavioral Analyst | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-06-11 |
| 1417570706 | Elizabeth Rose Horan | Speech-Language Pathologist | 100 Cummings Ctr, Beverly, MA 01915-6115 | 2020-05-21 |
| 1033633631 | Leanne Deterra | Registered Nurse | 100 Cummings Ctr, Element Care Suite 166d, Beverly, MA 01915 | 2017-07-26 |
| 1093248940 | Larissa Kortis | Speech-Language Pathologist | 100 Cummings Ctr, Suite 343g, Beverly, MA 01915-6115 | 2017-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| 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 |
|---|---|---|---|---|
| 1801075593 | Nancy L. Mcgonegal | Prosthetic/Orthotic Supplier | 100 Cummings Ctr Ste 344e, Beverly, MA 01915-6136 | 2007-10-30 |
| 1679684864 | Nancy L Mcgonegal | Prosthetic/Orthotic Supplier | 100 Cummings Ctr, Suite 344-e, Beverly, MA 01915-6115 | 2006-08-31 |
| 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 | ||||
Please comment or provide details below to improve the information on CORNELL ORTHOTICS AND PROSTHETICS, INC.
| 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.