Organization Active NPI

Orthotic Concepts Inc

  • Prosthetic/Orthotic Supplier
  • Weymouth, MA
National Provider Identifier
1417007154
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ORTHOTIC CONCEPTS INC
Practice address
320 Libbey Industrial Pkwy
Suite 3a
Weymouth, MA 02189-3107
Phone
(781) 340-0444
Fax
(781) 340-0486
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Authorized official

Name
Mr. Warren William Patten, CO, BOCO
Title
President
Phone
(781) 340-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X MA Primary

Addresses

Primary practice location

320 Libbey Industrial Pkwy
Suite 3a
Weymouth, MA 02189-3107

Mailing address

320 Libbey Industrial Pkwy
Suite 3a
Weymouth, MA 02189-3107
Phone (781) 340-0444

Other identifiers 8

IdentifierTypeStateIssuer
611001OtherMATUFTS HEALTH PLAN
1535536MedicaidMA
60251OtherMAFALLON
610474OtherMAHARVARD PILGRIM HEALTH
110029264AMedicaidMA
356154OtherMABLUE CROSS BLUE SHIELD
0012446OtherMANEIGHBORHOOD HEALTHPLAN
102857400OtherMAACS WORKER'S COMP

National Provider Directory

National Provider Directory

Locations

320 Libbey Industrial Pkwy
Ste 3A
Weymouth, MA 02189
Phone (781) 340-0444

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1417007154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 LIBBEY INDUSTRIAL PKWY",
            "address_2": "SUITE 3A",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893107",
            "telephone_number": "781-340-0444",
            "fax_number": "781-340-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 LIBBEY INDUSTRIAL PKWY",
            "address_2": "SUITE 3A",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893107",
            "telephone_number": "781-340-0444",
            "fax_number": "781-340-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTIC CONCEPTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "PATTEN",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-340-0444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO, BOCO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "611001",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1535536",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "60251",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "610474",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110029264A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "356154",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTHPLAN",
            "identifier": "0012446",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS WORKER'S COMP",
            "identifier": "102857400",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.