Western Reserve Orthotics Prosthetics Centre Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

WESTERN RESERVE ORTHOTICS PROSTHETICS CENTRE INC

Practice address

243 Three Springs Dr Ste 14a
Weirton, WV 26062-3885

Phone

(330) 792-6826

NPI assigned

Sep 25, 2020

Organization subpart

No

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

Authorized official

Name

Deanna Palowitz

Title

Administrative Supervisor

Phone

(330) 792-6826

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Western Reserve Orthotics Prosthetics Centre Inc

  • Prosthetic/Orthotic Supplier
  • Austintown, OH
  • NPI 1770579690

  4789896994

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Western Reserve Orthotics Prosthetics Centre Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Western Reserve O & P Centre Inc

  • Prosthetic/Orthotic Supplier
  • Alliance, OH
  • NPI 1003070459
  NPD tax ID
• Western Reserve Orthotics Prosthetics Centre Inc

  • Prosthetic/Orthotic Supplier
  • Austintown, OH
  • NPI 1770579690
  NPD tax ID

Locations

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1265049092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 MAHONING AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445152039",
            "telephone_number": "330-792-6826",
            "fax_number": "330-792-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 THREE SPRINGS DR STE 14A",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623885",
            "telephone_number": "330-792-6826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Community St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "WV",
            "postal_code": "260035250",
            "country_code": "US",
            "telephone_number": "740-296-5695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WESTERN RESERVE ORTHOTICS PROSTHETICS CENTRE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "PALOWITZ",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "ADMINISTRATIVE SUPERVISOR",
        "authorized_official_telephone_number": "330-792-6826"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2229225",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "4228050001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Selena Alexis Wells, RN
• Wellspring Family Services
• Amanda Wendel
• Wesley a. Pate, D.D.S. PLLC
• William Michael Wesley, DPT
• Virginia Elois Whatley
• Wheeling Spine Center and Massage LLC
• Analissa Marie White, CRNP
• Shannon S White, PSY.D.
• Alexa Jo Wickline, CRNA

• Prosthetic/Orthotic Supplier in Weirton, WV
• Providers in Weirton, 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 Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.