ORTHOFIT INC (NPI# 1629256979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629256979 |
| Entity Type | Organization |
| Organization Name | ORTHOFIT INC |
| Practice Address |
3200 Dam Neck Rd Ste 108 Virginia Beach VA 23453-2632 |
| Mailing Address |
3200 Dam Neck Rd Suite 112 Virginia Beach VA 23453-2632 |
| Practice Telephone | 7572005811 |
| Practice Fax Number | 7579637251 |
| Mailing Telephone | 7572005811 |
| Mailing Fax Number | 8775348968 |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2019-01-17 |
| Authorized Official Name | MR. VANCE PHILLIPS (CEO) |
| Authorized Official Telephone | 7572005811 |
| Authorized Official Credential | BOCO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 123123-5961 | VA | Suppliers |
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 123123-5961 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE | 4179536 00 | 01 |
| VA | 1629256979 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ORTHOFIT INC | 3200 Dam Neck Rd Ste 108, Virginia Beach, VA 23453-2632 |
| Street Address |
3200 DAM NECK RD STE 108 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23453-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407346109 | Sumaca S.a De C.v. | General Acute Care Hospital | Paseo De La Marina Int 4116, El Medano, San Jose Del Cabo, BAJA CALIFORNIA SUR 23453 | 2018-05-17 |
| 1336644814 | Jessica Zuckerman | Family Medicine | 2309 Nettleford Way, Virginia Beach, VA 23453 | 2018-03-27 |
| 1811359623 | Jana Leigh Dillon | Behavioral Analyst | 3101 Magic Hollow Blvd Ste 101, Virginia Beach, VA 23453 | 2016-03-22 |
| 1679903249 | Carmen Robinson | Physical Therapy Assistant | 3729 Purebred Dr, Virginia Beach, VA 23453 | 2013-11-19 |
| 1386986891 | Christina Pryor | Behavioral Analyst | Nbc 1531 Amberley Forest Road, Virginia Beach, VA 23453 | 2013-03-22 |
| 1417222415 | Rebecca Lynn Dahlka | Contractor | 1404 Planting Ct., Virginia Beach, VA 23453 | 2012-03-09 |
| 1730405879 | Coastal Dermatology P.C. | Dermatology | 3176 Holland Rd., 103, Virginia Beach, VA 23453 | 2010-04-14 |
| 1235466277 | Michael Allen Brasko | Specialist/Technologist, Other | 2604 Olympic Drive, Virginia Beach, VA 23453 | 2009-11-12 |
| 1518101385 | Matthew Faauli | Social Worker | 3134 Magic Hollow Blvd, Ste 200, Virginia Beach, VA 23453 | 2009-04-23 |
| 1104902246 | Cynthia Tapp Elswick | Social Worker | 3432 Magic Hollow Blvd, Suite 200, Va. Beach, VA 23453 | 2006-10-31 |
| Find all providers in zip 23453 | ||||
| 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 |
|---|---|---|---|---|
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1437605003 | Coastal Prosthetics and Orthotics,llc | Prosthetic/Orthotic Supplier | 1924 Landstown Centre Way Ste 109, Box # 13 for Mail, Virginia Beach, VA 23456-1624 | 2016-09-01 |
| 1902176563 | Coastline Medical, Inc. | Prosthetic/Orthotic Supplier | 509 Viking Dr Ste E, Virginia Beach, VA 23452-7323 | 2012-01-12 |
| 1215260062 | Rehab Specialists, Inc. | Prosthetic/Orthotic Supplier | 2005 Harvest Moon Ct., Virginia Beach, VA 23453-6675 | 2009-09-11 |
| 1417130055 | Victoria Marie Graziano | Prosthetic/Orthotic Supplier | 277 N Lynnhaven Rd, Suite 108, Virginia Beach, VA 23452-6963 | 2007-12-05 |
| 1457551236 | Branne LLC | Prosthetic/Orthotic Supplier | 5262 Fairfield Shopping Ctr, Virginia Beach, VA 23464-4212 | 2007-07-20 |
| 1326069477 | Healthy Feet Inc | Prosthetic/Orthotic Supplier | 3500 Virginia Beach Blvd Ste 100, Virginia Beach, VA 23452-4445 | 2006-07-22 |
| 1508821117 | Montagnas Shoes Inc | Prosthetic/Orthotic Supplier | 752 Independence Blvd, Montagnas Shoes, Virginia Beach, VA 23455 | 2006-04-18 |
| 1124006713 | Progressive Prosthetic & Orthopedic Services, Inc. | Prosthetic/Orthotic Supplier | 380 Cleveland Pl, Virginia Beach, VA 23462-6529 | 2006-01-04 |
| 1386270643 | Coastal Prosthetics and Orthotics, LLC | Prosthetic/Orthotic Supplier | 1008 First Colonial Rd, Virginia Beach, VA 23454-3071 | 2020-03-19 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23453 |
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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.