SUNRISE PROSTHETICS & ORTHOTICS, INC. (NPI# 1558533521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558533521 |
| Entity Type | Organization |
| Organization Name | SUNRISE PROSTHETICS & ORTHOTICS, INC. |
| Practice Address |
10 Harvard St Worcester MA 01609-2831 |
| Practice Telephone | 5087534738 |
| Practice Fax Number | 5087974390 |
| Mailing Telephone | 5087534738 |
| Mailing Fax Number | 5087974390 |
| Enumeration Date | 2008-03-30 |
| Last Update Date | 2008-09-04 |
| Authorized Official Name | MS. KAREN M LYNCH (PRESIDENT) |
| Authorized Official Telephone | 5087534738 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | Y |
| Parent Organization Name | SUNRISE PROSTHETICS & ORTHOTICS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1533215 | 05 |
| Street Address |
10 HARVARD ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01609-2831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018388 | Alyssa Lynne Szymkowicz | Counselor | 2b Pelham Street, Apartment 3, Worcester, MA 01609 | 2019-11-19 |
| 1295200848 | Carmen P Rivera Martinez | Counselor | 20 Irving Street, Worcester, MA 01609 | 2018-10-10 |
| 1386126704 | Sarah J Macdonald | Psychologist | 27 Sever St, Worcester, MA 01609 | 2018-09-01 |
| 1437641107 | Christopher Quoc-duy Nguyen | Dentist | 111 Elm Street Suite 203, Worcester, MA 01609 | 2018-05-30 |
| 1396190096 | Dasa Home Health Inc | Home Health | 255 Park Ave Ste 1101a, Worcester, MA 01609 | 2016-04-30 |
| 1912306135 | Neighborhood Dental Group, PC | Dentist | 111 Elm St Suite 203, Worcester, MA 01609 | 2014-08-14 |
| 1306254875 | Brenda Mccarthy-trayah | Counselor | 198 Russell St., Worcester, MA 01609 | 2014-07-29 |
| 1386052009 | Allene Rizzolo | Early Intervention Provider Agency | 548 Park Ave., South Bay Early Intervention, Worcester, MA 01609 | 2014-07-25 |
| 1477849032 | Diversified Staffing | Nursing Care | 39 Salisbury Street, Worcester, MA 01609 | 2011-06-22 |
| 1508195140 | 64 Highland Dental | Dentist | 64 Highland Street, Worcester, MA 01609 | 2009-12-10 |
| Find all providers in zip 01609 | ||||
| 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 |
|---|---|---|---|---|
| 1487261913 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 372 Chandler St Ste 104, Worcester, MA 01602-3314 | 2020-09-29 |
| 1669706719 | Womens Image Center | Prosthetic/Orthotic Supplier | 12 Winthrop Street, Suite 201, Worcester, MA 01604-4439 | 2009-09-22 |
| 1639142722 | Footit Surgical Supplies, Inc | Prosthetic/Orthotic Supplier | 1 W Boylston St Ste 201, Worcester, MA 01605-1274 | 2006-02-09 |
| 1649454604 | Peter J Kazanovicz | Prosthetic/Orthotic Supplier | 460 Lincoln St, Worcester, MA 01605-1918 | 2007-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1679859607 | The Orthotic and Prosthetic Centers, LLC | Prosthetic/Orthotic Supplier | 124 Long Pond Rd Suite 3, Plymouth, MA 02360-2664 | 2011-10-21 |
| 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.