Active NPI
Sunrise Prosthetics & Orthotics, Inc
- Prosthetic/Orthotic Supplier
- Hadley, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- SUNRISE PROSTHETICS & ORTHOTICS, INC
- Practice address
- 220 Russell St Ste 200a
Hadley, MA 01035-5903 - Phone
- (413) 468-0723
- NPI assigned
- Jul 21, 2022
- Last updated
- Jul 21, 2022
- 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
- Karen Lynch, CPO, CFM
- Title
- President
- Phone
- (508) 753-4738
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
220 Russell St Ste 200a
Hadley, MA 01035-5903
Mailing address
10 Harvard St
Worcester, MA 01609-2831
Phone (508) 753-4738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220923000787 | MA | DME Supplier - Orthotic Personnel | 3072719608 | Practice locations: Hadley, MA |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Prosthetic/Orthotic Supplier
- Milford, MA
- NPI 1962528679
3072719608
-
- Prosthetic/Orthotic Supplier
- Worcester, MA
- NPI 1558533521
3072719608
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 |
|---|---|---|
| Sunrise Prosthetics & Orthotics, in | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Lymphedema Compression Treatment Items | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Sunrise Prosthetics Orthotics Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Worcester, MA
- NPI 1558533521
Locations
220 Russell St
Ste 200A
Hadley, MA 01035
Phone (413) 468-0723
Ownership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Prosthetic/Orthotic Supplier
- Milford, MA
- NPI 1962528679
-
- Prosthetic/Orthotic Supplier
- Worcester, MA
- NPI 1558533521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1831824051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 HARVARD ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016092831",
"telephone_number": "508-753-4738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 RUSSELL ST STE 200A",
"city": "HADLEY",
"state": "MA",
"postal_code": "010355903",
"telephone_number": "413-468-0723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE PROSTHETICS & ORTHOTICS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-21",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A",
"authorized_official_last_name": "LYNCH",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-753-4738",
"authorized_official_credential": "CPO, CFM"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hadley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.