Patriot Orthotic Products LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

PATRIOT ORTHOTIC PRODUCTS LLC

Practice address

790 Turnpike St
Suite 202
North Andover, MA 01845-6144

Phone

(978) 794-5528

Fax

(978) 794-5529

NPI assigned

Jun 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan D Raymond, PT, CPED

Title

General Partner

Phone

(978) 794-5528

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245278811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 TURNPIKE ST",
            "address_2": "SUITE 202",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456144",
            "telephone_number": "978-794-5528",
            "fax_number": "978-794-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 TURNPIKE ST",
            "address_2": "SUITE 202",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456144",
            "telephone_number": "978-794-5528",
            "fax_number": "978-794-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT ORTHOTIC PRODUCTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "978-794-5528",
        "authorized_official_credential": "PT, CPED"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE DME PROV",
            "identifier": "8200611",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norma Joyce Patane, LMHC
• Bhavini S Patel, MS, RD, LDN
• Pulin H Patel
• Path Ahead Counseling LLC
• Patrick V Marasco Jr, MD, PC
• Patriot Urgent Care Professionals PC (AFC Urgent Care)
• William Joseph Patterson, D.M.D.
• Patti a Richard Dba Family Eye Care
• Pavilion Medical Home Care & Staffing LLC
• Lucy N Paynter, MS

• Customized Equipment (DME) in North Andover, MA
• Providers in North Andover, MA by specialty
• Customized Equipment (DME) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.