PANKOW ORTHOTICS & PROSTHETICS, LLC (NPI# 1093876278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093876278 |
| Entity Type | Organization |
| Organization Name | PANKOW ORTHOTICS & PROSTHETICS, LLC |
| Practice Address |
5489 Broadway St Lancaster NY 14086-2219 |
| Mailing Address |
5489 Broadway Lancaster NY 14086 |
| Practice Telephone | 7166510660 |
| Practice Fax Number | 7166510668 |
| Mailing Telephone | 7166510660 |
| Mailing Fax Number | 7166510668 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES E. PANKOW (OWNER) |
| Authorized Official Telephone | 7166510660 |
| Authorized Official Credential | BS,CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02804002 | 05 | |
| NY | UNIVERA | 00011248701 | 01 |
| NY | INDEPENDENT HEALTH | 2908794 | 01 |
| NY | BLUE CROSS BLUE SHIELD | 5510441 | 01 |
| NY | COMMUNITY BLUE | 5510441 | 01 |
| Street Address |
5489 BROADWAY ST |
| City | LANCASTER |
| State | NY |
| Zip Code | 14086-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487152385 | Craig Adam Kowalski | Physical Therapist | 5949 Broadway, Lancaster, NY 14086 | 2018-01-25 |
| 1376971523 | Emily Catherine Tutak | Occupational Therapist | 53 Robert Drive, Lancaster, NY 14086 | 2013-10-25 |
| 1730452756 | Cassandra A Riley-marino | Massage Therapist | 5600 Broadway St., Lancaster, NY 14086 | 2012-02-22 |
| 1861707838 | Village Audiology and Hearing Aid Services, Pllc | Audiologist | 56 Church St., Lancaster, NY 14086 | 2010-08-13 |
| 1356673461 | Brendan J Ciura | Chiropractor | 450 Central Ave., Suite 102, Lancaster, NY 14086 | 2010-02-01 |
| 1992960512 | Katherine Mary Odonnell | Massage Therapist | 450 Central Avenue, Columbia Professional Medical Building, Lancaster, NY 14086 | 2008-07-23 |
| 1285897686 | Janice Welker Schaner | Massage Therapist | 50 St. Mary's St., Lancaster, NY 14086 | 2008-07-07 |
| 1134249394 | Marie Synrod | Massage Therapist | 5336 Broaadway, Lancaster, NY 14086 | 2007-03-30 |
| 1669524492 | Child and Adolescent Treatment Service Inc | Counselor | 11 West Main Street, Suite A, Lancaster, NY 14086 | 2007-01-18 |
| 1114000916 | Chad Hamilton Kahler | Dentist | 450 Central Ave Suite 101, Lancaster, NY 14086 | 2006-10-23 |
| Find all providers in zip 14086 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467658120 | Walkers Shoe Center Inc. | Prosthetic/Orthotic Supplier | 737 E Main St, Lancaster, OH 43130-3937 | 2007-06-21 |
| 1083756993 | Valley Institute of Prosthetics & Orthotics, Inc | Prosthetic/Orthotic Supplier | 44404 16th St W Ste 108, Lancaster, CA 93534-2839 | 2007-02-14 |
| 1174585079 | Lloyd-silber Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 315 W James St, Suite 101, Lancaster, PA 17603-2979 | 2006-04-05 |
| 1184699373 | Benchmark Orthotics & Prosthetics Inc | Prosthetic/Orthotic Supplier | 1944 Lincoln Hwy E, Suite 4, Lancaster, PA 17602-5903 | 2006-02-21 |
| 1780661264 | Rgd Enterprises Inc | Prosthetic/Orthotic Supplier | 2044 Fruitville Pike, Lancaster, PA 17601-3918 | 2005-12-27 |
| 1346646783 | Barbara Kilbourn's Healthy Boutique | Prosthetic/Orthotic Supplier | 43129 Sunny Ln, Lancaster, CA 93536-4688 | 2014-11-12 |
| 1497193932 | Lancaster General Hospital | Prosthetic/Orthotic Supplier | 2102 Harrisburg Pike, Lancaster, PA 17601-2644 | 2013-06-06 |
| 1215282835 | Prosthetic & Orthotic Institute Inc. | Prosthetic/Orthotic Supplier | 901 W Meeting St, Ste 102, Lancaster, SC 29720-6200 | 2012-07-19 |
| 1952581563 | Timothy D. Bulgarelli | Prosthetic/Orthotic Supplier | 44404 16th St W, Suite 108, Lancaster, CA 93534-2839 | 2007-11-12 |
| 1073523650 | Hanger Prosthetics & Orthotics East, Inc. | Prosthetic/Orthotic Supplier | 1228 Colonial Commons Ct, Lancaster, SC 29720-2200 | 2006-08-08 |
| Find all providers in LANCASTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.