Active NPI
Skyland Prosthetics & Orthotics Inc
- Prosthetic/Orthotic Supplier
- Fletcher, NC
National Provider Identifier
1114919206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- SKYLAND PROSTHETICS & ORTHOTICS INC
- Practice address
- 3845 Hendersonville Rd
Fletcher, NC 28732-8241 - Phone
- (828) 684-1644
- Fax
- (828) 684-0648
- NPI assigned
- Aug 16, 2005
- Last updated
- Feb 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Cronk
- Title
- Office Manager
- Phone
- (828) 684-1644
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | NU | ||
| Prosthetist | 224P00000X | NU | ||
| Customized Equipment (DME) | 332BC3200X | NU | ||
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary | |
| Mastectomy Fitter | 224900000X | NU | ||
| Pedorthist | 224L00000X | NU |
Addresses
Primary practice location
3845 Hendersonville Rd
Fletcher, NC 28732-8241
Mailing address
3845 Hendersonville Rd
Fletcher, NC 28732-8241
Phone (828) 684-1644
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0496A | Other | NC | BCBS |
| 7700057 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930007584 | NC | DME Supplier - Medical Supply Company With Orthotic-Prosthetic | 3476754169 | Practice locations: Fletcher, NC |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Prosthetic/Orthotic Supplier
- Asheville, NC
- NPI 1528666195
3476754169
-
- Prosthetic/Orthotic Supplier
- Sylva, NC
- NPI 1821451980
3476754169
National Provider Directory
National Provider Directory- Tax ID family
- Skyland Prosthetics Orthotics Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Asheville, NC
- NPI 1528666195
-
- Prosthetic/Orthotic Supplier
- Sylva, NC
- NPI 1821451980
Ownership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Prosthetic/Orthotic Supplier
- Asheville, NC
- NPI 1528666195
-
- Prosthetic/Orthotic Supplier
- Sylva, NC
- NPI 1821451980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675814400000",
"number": "1114919206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3845 HENDERSONVILLE RD",
"city": "FLETCHER",
"state": "NC",
"postal_code": "287328241",
"telephone_number": "828-684-1644",
"fax_number": "828-684-0648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3845 HENDERSONVILLE RD",
"city": "FLETCHER",
"state": "NC",
"postal_code": "287328241",
"telephone_number": "828-684-1644",
"fax_number": "828-684-0648"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKYLAND PROSTHETICS & ORTHOTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-16",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A",
"authorized_official_last_name": "CRONK",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "828-684-1644"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "224900000X",
"taxonomy_group": "",
"desc": "Mastectomy Fitter",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "224L00000X",
"taxonomy_group": "",
"desc": "Pedorthist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0496A",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7700057",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fletcher, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.