Active NPI
Phoenix Rising Prosthetic Orthotic Service PLLC
- Prosthetic/Orthotic Supplier
- Palatine, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Jean Schechner
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200910002587 | IL | DME Supplier - Certified Orth/Pros/Pedorthist | 8729406541 | Practice locations: Palatine, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Clinic Office | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.