Pankow Orthotics & Prosthetics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PANKOW ORTHOTICS & PROSTHETICS, LLC

Practice address

5489 Broadway St
Lancaster, NY 14086-2219

Phone

(716) 651-0660

Fax

(716) 651-0668

NPI assigned

Dec 12, 2006

Last updated

Sep 2, 2021By 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. James E. Pankow, BS,CPO

Title

Owner

Phone

(716) 651-0660

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1093876278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5489 BROADWAY",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "14086",
            "telephone_number": "716-651-0660",
            "fax_number": "716-651-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5489 BROADWAY ST",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140862219",
            "telephone_number": "716-651-0660",
            "fax_number": "716-651-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANKOW ORTHOTICS & PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "PANKOW",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-651-0660",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS,CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02804002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "2908794",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "5510441",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00011248701",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5510441",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice M Ordon, LMT
• Justin M Ordon, L.M.T
• Jose Orta III, PT, DPT
• Linda Palaszewski
• Joanna Marie Palma, LMHC
• Rose T Pannozzo
• Frances Lucille Parisi, M.D.
• Laura Lee Pautler, L.M.T.
• Jessica Ann Pazian, M.A, LMHC, NCC
• Christina Marie Pellegrino, LMSW

• Prosthetic/Orthotic Supplier in Lancaster, NY
• Providers in Lancaster, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.