Active NPI
Pioneer Valley Orthotics & Prosthetics, Inc.
- Prosthetic/Orthotic Supplier
- West Springfield, MA
National Provider Identifier
1851439632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- P&O-722
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1520008 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
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.