FDR CENTER FOR PROSTHETICS & ORTHOTICS, INC. (NPI# 1518077239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518077239 |
| Entity Type | Organization |
| Organization Name | FDR CENTER FOR PROSTHETICS & ORTHOTICS, INC. |
| Other Organization Name | NORTHEASTERN PROSTHETIC & BRACE |
| Practice Address |
8 Ray Ave Burlington MA 01803-4721 |
| Practice Telephone | 7812735462 |
| Practice Fax Number | 7812735468 |
| Mailing Telephone | 7812735462 |
| Mailing Fax Number | 7812735468 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-12-10 |
| Authorized Official Name | MR. PAUL HARNEY (PRESIDENT) |
| Authorized Official Telephone | 6035959255 |
| 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 |
|---|---|---|---|
| MA | BC/BS MA | 398654 | 01 |
| MA | TUFTS | 661968 | 01 |
| MA | 1511068 | 05 |
| Other Name | Type Code |
|---|---|
| Northeastern Prosthetic & Brace | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053317560 | Fdr Center for Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 39 Simon St, Ste 7, Nashua, NH 03060-3046 | 2005-06-21 |
| Street Address |
8 RAY AVE |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01803-4721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219089 | Mallika Tara Iyer | Behavior Technician | 64 S Bedford Street, Burlington, MA 01803 | 2020-03-06 |
| 1518445709 | Patriot Urgent Care Professionals, PC | General Practice | 90 Middlesex Turnpike, Burlington, MA 01803 | 2018-07-31 |
| 1932608122 | Danielle Berkowitz | Registered Nurse | 90 Middlesex Tpke Ste G, Burlington, MA 01803 | 2018-02-02 |
| 1255861860 | David William Mahnken | Social Worker | 11a Cypress Drive, Burlington, MA 01803 | 2017-06-15 |
| 1770030710 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1300 Middlesex Turnpike, Burlington, MA 01803 | 2016-09-07 |
| 1083091557 | Burlington Eye Group, Inc | Optometrist | 74 Burlington Mall Road, Burlington, MA 01803 | 2015-05-04 |
| 1720485535 | Db2 Practice Management | Clinic/Center | 11 Cambridge St, Burlington, MA 01803 | 2014-11-21 |
| 1689081812 | Jasmit Minhas | Internal Medicine | 9 Kimball Court, Apt 112, Burlington, MA 01803 | 2014-07-21 |
| 1528404993 | Alexander David Neusner | Surgery | 40 Mall Rd, Burlington, MA 01803 | 2013-05-13 |
| 1730421389 | First Choice Dental Group | Dentist | 11 Camridge Street, Burlington, MA 01803 | 2013-03-21 |
| Find all providers in zip 01803 | ||||
| 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 |
|---|---|---|---|---|
| 1861747974 | A Step Ahead-boston, LLC | Prosthetic/Orthotic Supplier | 21 A Street, Burlington, MA 01803 | 2012-07-16 |
| 1336250059 | Flex Care, Inc. | Prosthetic/Orthotic Supplier | 15 Wildwood St, Burlington, MA 01803-1418 | 2006-08-31 |
| 1346290996 | Heritage Medical Equipment and Supplies Inc | Prosthetic/Orthotic Supplier | 624 S Roosevelt Ave, Burlington, IA 52601 | 2006-05-12 |
| 1861465205 | Carolina Eye Prosthetics, Inc | Prosthetic/Orthotic Supplier | 420 Maple Ave, Burlington, NC 27215-5934 | 2006-02-08 |
| 1306825005 | Clover Family Corp | Prosthetic/Orthotic Supplier | 1040 S Church St, Burlington, NC 27215-5046 | 2006-01-11 |
| 1265428122 | Boston Artificial Limb Company, Inc. | Prosthetic/Orthotic Supplier | 44 Middlesex Tpke, Burlington, MA 01803-4912 | 2005-09-26 |
| 1003273756 | Center for Orthotic and Prosthetic Care of North Carolina Inc | Prosthetic/Orthotic Supplier | 2260 S Church St, Suite 601, Burlington, NC 27215-5390 | 2016-01-26 |
| 1477853414 | Alamance Eye Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1736 Maple Ave, Burlington, NC 27215-6846 | 2010-10-25 |
| 1063688729 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 75 Middlesex Tpke, Burlington, MA 01803-5389 | 2008-05-02 |
| 1255503819 | Pdm Enterprises | Prosthetic/Orthotic Supplier | 32 Church St, Burlington, VT 05401-4406 | 2008-03-24 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 01803 |
Please comment or provide details below to improve the information on FDR CENTER FOR PROSTHETICS & ORTHOTICS, 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.