Lawall at Hershey, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

LAWALL AT HERSHEY, INC

Practice address

2020 Good Hope Rd Lawall at Hershey Inc
Suite 220, 2ND Floor
Enola, PA 17025-1237

Phone

(717) 732-2848

Fax

(717) 732-2892

NPI assigned

Oct 22, 2020

Organization subpart

No

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

Authorized official

Name

Wayne T Lawall, CPO

Title

President

Phone

(215) 338-6611

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

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

• Lawall at Hershey, Inc.

  • Prosthetic/Orthotic Supplier
  • Harrisburg, PA
  • NPI 1295854487

  8224246996

  Same PAC ID
• Lawall at Hershey, Inc.

  • Prosthetic/Orthotic Supplier
  • Hershey, PA
  • NPI 1477554400

  8224246996

  Same PAC ID
• Lawall at Hershey, Inc.

  • Prosthetic/Orthotic Supplier
  • Lancaster, PA
  • NPI 1740974633

  8224246996

  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

Lawall at Hershey Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Lawall at Hershey, Inc.

  • Prosthetic/Orthotic Supplier
  • Harrisburg, PA
  • NPI 1295854487
  NPD tax ID
• Lawall at Hershey, Inc.

  • Prosthetic/Orthotic Supplier
  • Hershey, PA
  • NPI 1477554400
  NPD tax ID
• Lawall at Hershey, Inc.

  • Prosthetic/Orthotic Supplier
  • Lancaster, PA
  • NPI 1740974633
  NPD tax ID

Locations

Practitioners 1

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

• Connor William Hart, CO

  • Orthotist
  • Hershey, PA
  • NPI 1437082849
  NPD (past)

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1366041030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8031 FRANKFORD AVE LAWALL AT HERSHEY INC.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191362616",
            "telephone_number": "215-338-6611",
            "fax_number": "215-338-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 GOOD HOPE RD LAWALL AT HERSHEY INC",
            "address_2": "SUITE 220, 2ND FLOOR",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251237",
            "telephone_number": "717-732-2848",
            "fax_number": "717-732-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWALL AT HERSHEY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "LAWALL",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-338-6611",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hershey",
            "affiliation": "N",
            "endpointDescription": "prosthetic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2020 Good Hope Rd Lawall at Hershey Inc",
            "address_2": "Suite 220, 2nd Floor",
            "city": "Enola",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170251237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Madison Taylor Kolakowski, MS
• Caitlin Nicole Krensavage, M.S CCC-SLP
• Svetlana Igorevna Kriegel, M.D.
• Ashley Marie Kunkle, PA-C
• Brianna Latovich, CNM
• Michael C Lescallette, DPT
• Todd John Leonard Lesko, CRNP
• LH True Diagnostic, LLC
• LHM Physical Therapy Institute LLC
• Jessica L Logan, FNP-BC

• All providers in Enola, PA
• Prosthetic/Orthotic Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.