Boston Orthotics Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

CFO00518 Issued in MA

Legal business name

BOSTON ORTHOTICS INC

Practice address

30 Robert W. Boyden Rd
Unit A1100
Taunton, MA 02780-7821

Phone

(508) 821-7655

Fax

(508) 977-9227

NPI assigned

Dec 11, 2006

Last updated

Apr 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Macelhiney

Title

President

Phone

(508) 821-7655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1881754919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ROBERT W. BOYDEN ROAD",
            "address_2": "UNIT A1100",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027807821",
            "telephone_number": "508-821-7655",
            "fax_number": "508-977-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ROBERT W. BOYDEN RD",
            "address_2": "UNIT A1100",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027807821",
            "telephone_number": "508-821-7655",
            "fax_number": "508-977-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON ORTHOTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "MACELHINEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-821-7655",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MA",
            "license": "CFO00518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marci Danielle Bonner, M.ED., LMHC, MHC
• Jennifer Booth, LICSW
• Justin Borges
• Peter Bosco, MD
• Kristen Bosse, LMHC
• Boston University Eye Associates, Inc.
• Boston University Eye Associates, Inc.
• Boston Urology Institute, LLC
• Derek Botelho
• Laura Botelho

• Customized Equipment (DME) in Taunton, MA
• Providers in Taunton, MA by specialty
• Customized Equipment (DME) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.