PROSTRIDE ORTHOTICS LLC (NPI# 1477077113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477077113 |
| Entity Type | Organization |
| Organization Name | PROSTRIDE ORTHOTICS LLC |
| Practice Address |
9609 Gayton Rd Ste 102 Richmond VA 23238-4900 |
| Practice Telephone | (804) 310-3894 |
| Mailing Telephone | 8043103894 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-07 |
| Authorized Official Name | BHARTI MEHTA (MANAGING MEMBER) |
| Authorized Official Telephone | 8043103894 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224L00000X | Pedorthist | 4134 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9609 GAYTON RD STE 102 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23238-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407382948 | Bharti Mehta | Specialist | 9609 Gayton Rd Ste 102, Richmond, VA 23238-4900 | 2017-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921627 | Acorn Pediatrics, Inc | Pediatrics | 2610-b Gaskins Road, Henrico, VA 23238 | 2020-08-07 |
| 1093378028 | Neepaben C Patel | Physical Therapist | 2620 A Gaskins Rd, Henrico, VA 23238 | 2019-04-16 |
| 1598246530 | Mohini T Chandra | Occupational Therapist | 1900 Lakewood Drive, Richmond, VA 23238 | 2018-08-28 |
| 1275035743 | Henry Davis Holland Jr. | Speech-Language Pathologist | 1773 Robins Nest Ct., Henrico, VA 23238 | 2018-03-01 |
| 1811352651 | Taylor Krafcik | Acupuncturist | 10617 Patterson Ave, Henrico, VA 23238 | 2015-12-21 |
| 1245603430 | Ashley Sharice Crawley | Physical Therapist | 1209 Falstaff Court, Henrico, VA 23238 | 2015-11-10 |
| 1174966832 | Milton Alexander Boyd | Internal Medicine | 1531 Monmouth Pl, Richmond, VA 23238 | 2013-04-12 |
| 1760778534 | Terri Esposito | Physical Therapist | 1600 John Rolfe Pkwy., Richmond, VA 23238 | 2011-06-21 |
| 1073841649 | Pulmonary Assessments | Clinic/Center | 149 West Square Ct, Richmond, VA 23238 | 2009-11-19 |
| 1538329156 | Michael B Holbert | Dentist | 2620-b Gaskins Road, Richmond, VA 23238 | 2008-06-17 |
| Find all providers in zip 23238 | ||||
| Taxonomy Code | 224L00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Pedorthist |
| An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] 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 |
|---|---|---|---|---|
| 1073948857 | Asim Alli | Pedorthist | 4252 Electric Rd, Roanoke, VA 24018-0728 | 2013-09-11 |
| 1285104935 | Deborah Flack Richey | Pedorthist | 1023 Emmet St N, Charlottesville, VA 22903-4834 | 2018-11-26 |
| 1194295857 | Mark Allen Hough | Pedorthist | 1023 Emmet St N, Charlottesville, VA 22903-4834 | 2018-11-26 |
| 1184194847 | Richard Kenton Plourde Jr. | Pedorthist | 1023 Emmet St N, Charlottesville, VA 22903-4834 | 2018-11-26 |
| 1962972638 | Alick Amini | Pedorthist | 1366 Chain Bridge Rd, Mc Lean, VA 22101-3904 | 2018-11-26 |
| 1043780711 | Michael Evan Ross | Pedorthist | 1023 Emmet St N, Charlottesville, VA 22903-4834 | 2018-11-26 |
| 1629548383 | Michael Rodney Gregory | Pedorthist | 1366 Chain Bridge Rd, Mc Lean, VA 22101-3904 | 2018-11-26 |
| 1417436965 | Steven C Franklin | Pedorthist | 509 Viking Dr Ste E, Virginia Beach, VA 23452-7323 | 2018-08-07 |
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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.