Thomas Pacak, CPO

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

1137 Van Voorhis Rd
Suite 15
Morgantown, WV 26505-3453

Phone

(304) 241-4094

Fax

(304) 381-2041

NPI assigned

Mar 24, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Crossroads Orthotics and Prosthetics LLC

  • Prosthetic/Orthotic Supplier
  • Morgantown, WV
  • NPI 1164892139
  NPD Authorized official

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1841684271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4112",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265044112",
            "telephone_number": "304-241-4094",
            "fax_number": "304-381-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 VAN VOORHIS RD",
            "address_2": "SUITE 15",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053453",
            "telephone_number": "304-241-4094",
            "fax_number": "304-381-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACAK",
        "first_name": "THOMAS",
        "credential": "CPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Anne Owens, MS,CCC/SLP
• Douglas H Owens, PT
• Sania Alexis Owens, RN
• Zekeriya Suat Ozden I
• Kingsley Ozongwu, MD
• Pace Enterprises of West Virginia
• Pacific and Pine Counseling
• Nicholas Brooks Paden, PHARM. D
• Shanis A Padgett, M.D.
• Emily Paff, PT

• Prosthetic/Orthotic Supplier in Morgantown, WV
• Providers in Morgantown, 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 Oct 28, 2015; 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.