MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC – NPI #1336172196
Prosthetic/Orthotic Supplier

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC is a DME Supplier located in MILTON, MA. NPPES has assigned the NPI number 1336172196 to MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC on July 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.

The NPI profile was last updated on May 29, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC below.

NPI Profile for
MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC

NPI Number
1336172196
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC
Primary location
199 REEDSDALE RD
MILTON, MA 02186
Phone: (617) 698-6334 Fax: (617) 698-3260
Mailing address
2421 LINDEN LN
SILVER SPRING, MD 20910-1230
Phone: (301) 585-5347 Fax: (301) 585-4383
Organization Subpart
No
Authorized Official
BRADFORD GARDNER
DIRECTOR
Phone: (615) 864-8783
Updated
Certification Date
May 29, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherBLUE CROSS BLUE SHIELD IDMA240254
otherCIGNA PROVIDER IDMA3137161
otherHARVARD PILGRIM PROV IDMA800550
otherTUFTS HEALTH PLAN PROV IDMA801088
otherUS DEPT OF LABOR PROV IDMA102441600
medicaidMA1501003
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
335E00000X
- Prosthetic/Orthotic Supplier (Primary)
225000000X
- Orthotic Fitter
222Z00000X
- Orthotist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.