NPIMap

Organization Active NPI

Sunrise Prosthetics & Orthotics, Inc

  • Prosthetic/Orthotic Supplier
  • Milford, MA
National Provider Identifier
1962528679
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SUNRISE PROSTHETICS & ORTHOTICS, INC
Practice address
2 S Main St
Milford, MA 01757-3250
Phone
(508) 473-9943
NPI assigned
Mar 22, 2007
Organization subpart
Yes
Parent organization
SUNRISE PROSTHETICS & ORTHOTICS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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

Authorized official

Name
Ms. Karen M Lynch, CPO
Title
President
Phone
(508) 473-9943

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2 S Main St
Milford, MA 01757-3250

Mailing address

10 Harvard St
Worcester, MA 01609-2831
Phone (508) 753-4738

Other identifiers 1

IdentifierTypeStateIssuer
CPO1936OtherMAABC CERTIFICATION #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930069814 MA DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 3072719608 Practice locations: Milford, MA

Other NPIs with the same Medicare PAC ID 2

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
Sunrise Prosthetics & Orthotics,Inc2 S Main St, Milford, MA 01757-3771(508) 473-9943 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Nov 28, 2007

National Provider Directory

National Provider Directory
Part of
Sunrise Prosthetics Orthotics Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1962528679",
    "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",
            "fax_number": "508-797-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 S MAIN ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573250",
            "telephone_number": "508-473-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PROSTHETICS & ORTHOTICS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNRISE PROSTHETICS & ORTHOTICS, INC",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-473-9943",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABC CERTIFICATION #",
            "identifier": "CPO1936",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.