Organization Active NPI

Cresap Orthotics & Prosthetics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Moses Lake, WA
National Provider Identifier
1891964888
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
PS00000162 Issued in WA
Legal business name
CRESAP ORTHOTICS & PROSTHETICS, INC.
Practice address
835 E Colonial Ave
Suite 101
Moses Lake, WA 98837-4617
Phone
(509) 764-8500
Fax
(509) 663-2147
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Sean D Cresap, C.P.O.NPI 1225225485
Title
President
Phone
(509) 663-2490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PS00000162 WA Primary
Durable Medical Equipment & Medical Supplies 332B00000X OI00000163 WA

Addresses

Primary practice location

835 E Colonial Ave
Suite 101
Moses Lake, WA 98837-4617

Mailing address

630 N Chelan Ave
Suite A5
Wenatchee, WA 98801-6622
Phone (509) 663-2490

Other identifiers 1

IdentifierTypeStateIssuer
9048216MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1891964888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N CHELAN AVE",
            "address_2": "SUITE A5",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016622",
            "telephone_number": "509-663-2490",
            "fax_number": "509-663-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 E COLONIAL AVE",
            "address_2": "SUITE 101",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374617",
            "telephone_number": "509-764-8500",
            "fax_number": "509-663-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESAP ORTHOTICS & PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "CRESAP",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-663-2490",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "PS00000162",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "OI00000163",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9048216",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.