Organization Active NPI

Pioneer Valley Orthotics & Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • West Springfield, MA
National Provider Identifier
1851439632
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
P&O-722 Issued in MA
Legal business name
PIONEER VALLEY ORTHOTICS & PROSTHETICS, INC.
Practice address
138 Doty Cir
West Springfield, MA 01089-1310
Phone
(413) 788-9655
Fax
(413) 732-0828
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X P&O-722 MA
Prosthetic/Orthotic Supplier 335E00000X P&O-722 MA Primary

Addresses

Primary practice location

138 Doty Cir
West Springfield, MA 01089-1310

Mailing address

138 Doty Cir
West Springfield, MA 01089-1310
Phone (413) 788-9655

Other identifiers 1

IdentifierTypeStateIssuer
1520008MedicaidMA

National Provider Directory

National Provider Directory

Locations

138 Doty Cir
West Springfield, MA 01089
Phone (413) 788-9655

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1851439632",
    "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": "138 DOTY CIR",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891310",
            "telephone_number": "413-788-9655",
            "fax_number": "413-732-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER VALLEY ORTHOTICS & PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "TWYEFFORT,III",
        "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_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MA",
            "license": "P&O-722",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MA",
            "license": "P&O-722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1520008",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.