Active NPI
Myomo
- Prosthetic/Orthotic Supplier
- Burlington, MA
National Provider Identifier
1487935763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200512002170 | MA | DME Supplier - Medical Supply Company With Orthotic Personnel | 7618308453 | Practice locations: Burlington, MA |
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 |
|---|---|---|
| Myomo | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated) | Does not accept assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Other Technician
- Irving, TX
- NPI 1255626560
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.