CROSSROADS ORTHOTICS & CONSULTATION, INC. (NPI# 1538626221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538626221 |
| Entity Type | Organization |
| Organization Name | CROSSROADS ORTHOTICS & CONSULTATION, INC. |
| Practice Address |
4025 Holt Rd Ste 110 Holt MI 48842-6019 |
| Mailing Address |
821 S Washington St Crawfordsville IN 47933-3546 |
| Practice Telephone | 7653590041 |
| Practice Fax Number | 7653590402 |
| Mailing Telephone | 7653590041 |
| Mailing Fax Number | 7653590402 |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-02-28 |
| Authorized Official Name | CHRYSTAL FRAZIER (PRESIDENT) |
| Authorized Official Telephone | 7653590041 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154579597 | Crossroads Orthotics & Consultation, Inc. | Prosthetic/Orthotic Supplier | 821 S Washington, Crawfordsville, IN 47933 | 2008-08-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Crossroads Orthotics & Consultation, Inc. | 821 S Washington Street, Crawfordsville, IN 47933 |
| Indiana Business Entities | CROSSROADS ORTHOTICS & CONSULTATION, INC. | 821 S Washington Street, Crawfordsville, IN 47933 |
| Street Address |
4025 HOLT RD STE 110 |
| City | HOLT |
| State | MI |
| Zip Code | 48842-6019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730708538 | Dylan Voris | Psychologist | 4523 E Willoughby Rd., Holt, MI 48842 | 2020-04-11 |
| 1013458835 | Allison Ann Pingston | Specialist/Technologist | 23747 Rolling Ridge Ln., Holt, MI 48842 | 2017-03-13 |
| 1528417706 | Marybeth Timotiwu | Technician, Other | 3940 Acorn Cir, Holt, MI 48842 | 2016-06-08 |
| 1831593623 | Mary Nelson | Rehabilitation Practitioner | 3860 Wachtel Drive, Holt, MI 48842 | 2014-10-22 |
| 1598869703 | Nicole Elizabeth Durnin | Pharmacist | 2018 N. Cedar Street, Suite A, Holt, MI 48842 | 2006-09-08 |
| 1225130560 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 2240 Cedar St, Holt, MI 48842 | 2006-09-05 |
| 1073622973 | Marilyn Viera | Family Medicine | 2380 Cedat St, Holt, MI 48842 | 2006-08-30 |
| 1942228291 | Stephen N. Glover | Pharmacist | 2390 N. Cedar St., Holt, MI 48842 | 2006-07-17 |
| 1740244169 | Pamela Thompson | Family Medicine | 4221 Charlar Dr, Holt, MI 48842 | 2006-04-13 |
| 1407847387 | Amy Lynn Cousineau | Optometrist | 2040 Aurelius Rd Ste 20, Holt, MI 48842 | 2005-10-31 |
| Find all providers in zip 48842 | ||||
| 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 |
|---|---|---|---|---|
| 1578178026 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 106 S Greenville West Dr Ste 3, Greenville, MI 48838-3504 | 2020-09-11 |
| 1508474297 | Brandy Denise Smith-bounds | Prosthetic/Orthotic Supplier | 41660 Huntington Dr, Sterling Heights, MI 48313-3128 | 2020-07-19 |
| 1912537705 | The W Beauty and Barber Lounge | Prosthetic/Orthotic Supplier | 18718 Grand River Ave, Detroit, MI 48223-2215 | 2020-01-21 |
| 1710520507 | Michigan Surgery Specialists, P.C. | Prosthetic/Orthotic Supplier | 19725 Allen Rd Ste B, Brownstown Twp, MI 48183-1090 | 2019-10-24 |
| 1952962003 | Best Choice Senior Services, Inc | Prosthetic/Orthotic Supplier | 27177 Lahser Rd Ste 206, Southfield, MI 48034-8468 | 2019-06-27 |
| 1124686704 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 2550 Niles Rd Ste 1, Saint Joseph, MI 49085-3270 | 2019-05-30 |
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1306304670 | Ddp Mobility and Safety Medical Equipment | Prosthetic/Orthotic Supplier | 27258 Cecile St, Dearborn Heights, MI 48127-3393 | 2019-03-06 |
| 1952886343 | Confidence Beyond Hair Loss | Prosthetic/Orthotic Supplier | 14830 Lakeshore Dr, Grand Haven, MI 49417-8636 | 2018-10-01 |
| 1184102774 | Regents of The University of Michigan | Prosthetic/Orthotic Supplier | 7500 Challis Rd Ste 1000, Brighton, MI 48116-9416 | 2018-08-06 |
| Find all providers with the same taxonomy | ||||
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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.