Active NPI
Pioneer Valley Orthotics & Prosthetics, Inc.
- Prosthetic/Orthotic Supplier
- Northampton, MA
National Provider Identifier
1184083073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- PIONEER VALLEY ORTHOTICS & PROSTHETICS, INC.
- Practice address
- 139 Damon Rd
Ste B11
Northampton, MA 01060-1832 - Phone
- (413) 788-9655
- Fax
- (413) 732-0828
- NPI assigned
- Feb 19, 2016
- 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
- Mr. Frank H Twyeffort III, CPO
- Title
- President
- Phone
- (413) 788-9655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
139 Damon Rd
Ste B11
Northampton, MA 01060-1832
Mailing address
138 Doty Cir
West Springfield, MA 01089-1310
Phone (413) 788-9655
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1520008 | Medicaid | MA | |
| 0282580001 | Other | MA | MEDICARE PTAN |
National Provider Directory
National Provider Directory- Tax ID family
- Pioneer Valley Orthotics Prosthetics Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Pittsfield, MA
- NPI 1619336500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455840000000",
"number": "1184083073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 DOTY CIR",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010891310",
"telephone_number": "413-788-9655",
"fax_number": "413-732-0828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 DAMON RD",
"address_2": "STE B11",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010601832",
"telephone_number": "413-788-9655",
"fax_number": "413-732-0828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIONEER VALLEY ORTHOTICS & PROSTHETICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-19",
"last_updated": "2016-02-19",
"status": "A",
"authorized_official_last_name": "TWYEFFORT",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "413-788-9655",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1520008",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "0282580001",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.