Organization Active NPI

Myomo

  • Prosthetic/Orthotic Supplier
  • Burlington, MA
National Provider Identifier
1487935763
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MYOMO
Practice address
45 Blue Sky Dr Ste 101
Burlington, MA 01803-2777
Phone
(617) 996-9058
NPI assigned
Aug 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
David Henry
Title
Cfo
Phone
(617) 996-9052

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

45 Blue Sky Dr Ste 101
Burlington, MA 01803-2777

Mailing address

45 Blue Sky Dr
Burlington, MA 01803-2777
Phone (617) 996-9058

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200512002170 MA DME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Orthotic Personnel 7618308453 Practice locations: Burlington, MA

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
Myomo45 Blue Sky Dr, Burlington, MA 01803-2777(617) 996-9058 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated) Does not accept assignmentParticipating since Apr 21, 2020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1487935763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BLUE SKY DR",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018032777",
            "telephone_number": "617-996-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 BLUE SKY DR STE 101",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018032777",
            "telephone_number": "617-996-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYOMO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-996-9052"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.