NPIMap

Organization Active NPI

The Orthotic and Prosthetic Centers, LLC

  • Prosthetic/Orthotic Supplier
  • Plymouth, MA
National Provider Identifier
1679859607
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
THE ORTHOTIC AND PROSTHETIC CENTERS, LLC
Practice address
124 Long Pond Rd Suite 3
Plymouth, MA 02360-2664
Phone
(774) 773-9739
Fax
(774) 773-9679
NPI assigned
Oct 21, 2011
Last updated
May 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
HANGER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Heather Peters
Title
Regulatory Compliance Analyst II
Phone
(859) 594-2713

Specialties & licenses 2

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

Addresses

Primary practice location

124 Long Pond Rd Suite 3
Plymouth, MA 02360-2664

Mailing address

PO Box 650846
Dallas, TX 75265-0846

Other identifiers 1

IdentifierTypeStateIssuer
110086734CMedicaidMA

Other names 1

  • THE ORTHOTIC AND PROSTHETIC CENTER Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120524000192 MA DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 4789884602 Practice locations: Plymouth, MA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
The Orthotic and Prosthetic Centers124 Long Pond Rd, Plymouth, MA 02360-2664(774) 773-9739 Neuromuscular Elect Stimulators (NMES)/Supplies|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses Accepts assignmentParticipating since Sep 11, 2009

National Provider Directory

National Provider Directory
Tax ID family
The Orthotic and Prosthetic Centers LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

124 Long Pond Rd
Ste 3
Plymouth, MA 02360
Phone (774) 773-9739

124 Long Pond Rd
Ste 9
Plymouth, MA 02360
Phone (508) 364-3585

164 Mid Tech Dr
Ste E
West Yarmouth, MA 02673

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1679859607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650846",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 LONG POND RD SUITE 3",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602664",
            "telephone_number": "774-773-9739",
            "fax_number": "774-773-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ORTHOTIC AND PROSTHETIC CENTERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2011-10-21",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "REGULATORY COMPLIANCE ANALYST II",
        "authorized_official_telephone_number": "859-594-2713"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110086734C",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE ORTHOTIC AND PROSTHETIC CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.