National Provider Identifier Database

MATTHEW T BEALE, CPO – NPI #1730679234
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

MATTHEW T BEALE, CPO
137 PORTLAND ST
4TH FLOOR
BOSTON, MA02114
Phone: 617-996-9058
Fax:
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X
Orthotist 222Z00000X

* Indicates primary specialty

NPI Profile & details for MATTHEW T BEALE

NPI Number 1730679234
Credentials CPO
Entity Individual
Enumeration date 05/10/2018
Last updated 08/30/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • Other: CPO03996 AMERICAN BOARD FOR CERTIFICATION (ORTHOTICS, PROSTHETICS, PEDORTHICS
  • WA Other: OI61292553 WASHINGTON STATE DEPARTMENT OF HEALTH ORTHOTIST LICENSE
  • WA Other: PS61292556 WASHINGTON STATE DEPARTMENT OF HEALTH PROSTHETIST LICENSE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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