Sean Dominic Cresap, C.P.O.

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

PS00000162 Issued in WA

Practice address

630 N Chelan Ave
A-5
Wenatchee, WA 98801-6622

Phone

(509) 663-2490

Fax

(509) 663-2147

NPI assigned

Oct 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cresap Orthotics & Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Wenatchee, WA
  • NPI 1851440911
  NPD Authorized official
• Cresap Orthotics & Prosthetics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Moses Lake, WA
  • NPI 1891964888
  NPD Authorized official

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1225225485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N CHELAN AVE",
            "address_2": "A-5",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016622",
            "telephone_number": "509-663-2490",
            "fax_number": "509-663-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N CHELAN AVE",
            "address_2": "A-5",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016622",
            "telephone_number": "509-663-2490",
            "fax_number": "509-663-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESAP",
        "first_name": "SEAN",
        "middle_name": "DOMINIC",
        "name_prefix": "Mr.",
        "credential": "C.P.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "WA",
            "license": "PS00000162",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8419053",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John A Crane, MD
• Chelsey Lynne Craven, LICSW
• Heidi Jo Crawford, LICSW
• Jerry D Crawford, M.D.
• Cresap Orthotics & Prosthetics, Inc.
• CRH Christopher House LLC
• Bradley Cromar, MD
• Spencer R. Crook, PHARMD, MS HSPA
• Samuel Robert Crossett, D.O.
• Ted Michael Crum, R.PH.

• Prosthetics Case Management in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Prosthetics Case Management in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.