Active NPI
Cresap Orthotics & Prosthetics, Inc.
- Durable Medical Equipment & Medical Supplies
- Moses Lake, WA
National Provider Identifier
1891964888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- PS00000162
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9048216 | Medicaid | WA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthetics Case Management
- Wenatchee, WA
- NPI 1225225485
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.