Organization Active NPI

Pioneer Valley Orthotics & Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Northampton, MA
National Provider Identifier
1184083073
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Feb 19, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1520008MedicaidMA
0282580001OtherMAMEDICARE PTAN

National Provider Directory

National Provider Directory
Tax ID family
Pioneer Valley Orthotics Prosthetics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.