Organization Active NPI

Phoenix Rising Prosthetic Orthotic Service PLLC

  • Prosthetic/Orthotic Supplier
  • Palatine, IL
National Provider Identifier
1073140414
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PHOENIX RISING PROSTHETIC ORTHOTIC SERVICE PLLC
Practice address
330 W Colfax St Ste 100
Palatine, IL 60067-2538
Phone
(847) 865-1270
Fax
(847) 865-1272
NPI assigned
Mar 25, 2020
Last updated
Mar 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sandra Jean SchechnerNPI 1336651264
Title
Cpo/Lpo/Owner
Phone
(847) 865-1270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X NU
Prosthetist 224P00000X NU
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

330 W Colfax St Ste 100
Palatine, IL 60067-2538

Mailing address

PO Box 1535
Palatine, IL 60078-1535
Phone (847) 865-1270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200910002587 IL DME Supplier - Certified Orth/Pros/Pedorthist 8729406541 Practice locations: Palatine, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Clinic Office330 W Colfax St, Palatine, IL 60067-2538(847) 865-1270 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Sep 23, 2020

National Provider Directory

National Provider Directory

Locations

330 W Colfax St
Ste 100
Palatine, IL 60067
Phone (847) 865-1270

440 W Colfax St
Unit 1535
Palatine, IL 60078

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1073140414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1535",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600781535",
            "telephone_number": "847-865-1270",
            "fax_number": "847-865-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W COLFAX ST STE 100",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600672538",
            "telephone_number": "847-865-1270",
            "fax_number": "847-865-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING PROSTHETIC ORTHOTIC SERVICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "SCHECHNER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CPO/LPO/OWNER",
        "authorized_official_telephone_number": "847-865-1270"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.