Crossroads Orthotics and Prosthetics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CROSSROADS ORTHOTICS AND PROSTHETICS LLC

Practice address

1137 Van Voorhis Rd
Suite 15
Morgantown, WV 26505-3453

Phone

(304) 241-4094

NPI assigned

Oct 2, 2015

Organization subpart

No

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

Authorized official

Name

Thomas Pacak, CPONPI 1841684271

Title

Owner/Clinical Director

Phone

(304) 241-4094

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Pacak, CPO

  • Prosthetic/Orthotic Supplier
  • Morgantown, WV
  • NPI 1841684271
  NPD Authorized official

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1164892139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4112",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265044112",
            "telephone_number": "304-241-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 VAN VOORHIS RD",
            "address_2": "SUITE 15",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053453",
            "telephone_number": "304-241-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS ORTHOTICS AND PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "PACAK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "304-241-4094",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Alexandra Crone, BA
• Nancy L Cronenberger, CRNA
• Anne Cronin, O.T.
• Heather Cross
• Rachel Cross
• Pamela Crow
• Katelyn Crowder, MD
• Tyler G Crowe, D.D.S.
• Edward B Crowell, M. D.
• Rachel Crull

• Prosthetic/Orthotic Supplier in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Prosthetic/Orthotic Supplier in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.