MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC


Address: 224d Cornwall St Nw, Leesburg, VA 20176-2713
Phone: 5712913121

MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC (NPI# 1356951651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356951651
Entity Type Organization
Organization Name MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC
Practice Address 224d Cornwall St Nw
Leesburg
VA 20176-2713
Mailing Address 2421 Linden Ln
Silver Spring
MD 20910-1230
Practice Telephone 5712913121
Mailing Telephone 3015855347
Enumeration Date 2020-08-03
Last Update Date 2020-08-03
Authorized Official Name MIKE CORCORAN (CEO)
Authorized Official Telephone 3015855347
Authorized Official Credential CPO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1306470687 Medical Center Orthotics and Prosthetics, LLC Prosthetic/Orthotic Supplier 4600 Wilkens Ave Ste 105, Baltimore, MD 21229-4843 2020-02-26
1144611302 Medical Center Orthotics and Prosthetics, LLC Prosthetic/Orthotic Supplier 3232 Georgia Ave Nw Ste 103, Washington, DC 20010-3084 2015-02-10
1669880027 Medical Center Orthotics and Prosthetics, LLC Durable Medical Equipment & Medical Supplies 2012 Renard Ct, Suite G, Annapolis, MD 21401-6761 2014-07-30
1023487618 Medical Center Orthotics and Prosthetics, LLC Prosthetic/Orthotic Supplier 500 Lincoln St, Boston, MA 02134-1536 2015-09-24
1336172196 Medical Center Orthotics and Prosthetics, LLC Orthotist 199 Reedsdale Rd, Milton, MA 02186 2006-07-07

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC 2421 Linden Ln, Silver Spring, MD 20910-1230

Office Location

Street Address 224D CORNWALL ST NW
City LEESBURG
State VA
Zip Code 20176-2713

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427057686 Michael K Kuo Physical Medicine & Rehabilitation 224d Cornwall St Nw, Suite 202, Leesburg, VA 20176-2700 2005-07-20
1104377746 Loudoun Medical Group . P.c Sleep Specialist, PhD 224d Cornwall St Nw, Suite 403, Leesburg, VA 20176-2700 2016-10-19
1194275339 Loudoun Medical Group . P.c Orthopaedic Surgery 224d Cornwall St Nw, Suite 204, Leesburg, VA 20176-2700 2016-10-12
1952851107 Loudoun Medical Group . P.c Internal Medicine 224d Cornwall St Nw, Suite 403, Leesburg, VA 20176-2700 2016-10-12
1679927560 Loudoun Medical Group PC Physical Medicine & Rehabilitation 224d Cornwall St Nw, Suite 403, Leesburg, VA 20176-2700 2016-04-18
1093186587 Nicole Langdon Price Nurse Practitioner 224d Cornwall St Nw, Leesburg, VA 20176-2700 2015-10-09
1609113380 Kristen D Ritch Physician Assistant 224d Cornwall St Nw, Suite 102, Leesburg, VA 20176-2700 2013-01-15
1245586015 Loudoun Medical Group PC Internal Medicine 224d Cornwall St Nw, Suite 303, Leesburg, VA 20176-2700 2012-07-31
1982981924 Loudoun Medical Group PC Orthopaedic Surgery 224d Cornwall St Nw, Suite 204, Leesburg, VA 20176-2700 2011-11-04
1588941629 Csssdwc Orthopaedic Surgery 224d Cornwall St Nw, Suite 204, Leesburg, VA 20176-2700 2011-11-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053912923 Timothy Michael Nixon Pharmacist 61 Catoctin Circle, Leesburg, VA 20176 2020-11-05
1558996645 Stacey E Moran Occupational Therapist 44124 Woodrige Parkway, Lansdowne, VA 20176 2020-03-09
1710531272 Joseph H Kasuska Jr. Specialist/Technologist 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 2019-08-01
1568935849 Joel Manalang Polintan Jr. Physical Therapist 171 Cedarwalk Circle, Leesburg, VA 20176 2019-01-09
1194203026 Jing Cao Acupuncturist 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 2018-08-02
1134648314 Alaina Marie Gotwalt Speech-Language Pathologist 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 2017-09-19
1841717105 Happy Inhome Care Corp Respite Care 722 E Market St Ste 103, Leesburg, VA 20176 2017-08-28
1912423484 Aaa Good Healthcare LLC Nursing Care 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 2017-08-16
1740704253 Anna Maria Domingo Seaford Physician Assistant 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 2017-07-27
1710436480 Reena Patel Physician Assistant 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 2016-09-23
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871747386 M & M Rehab., Inc. Prosthetic/Orthotic Supplier 601 E Dixie Ave Ste 806, Leesburg, FL 34748-5994 2008-11-11
1437525201 Eastern Cranial Affiliates, LLC Prosthetic/Orthotic Supplier 44055 Riverside Pkwy, Suite 106a, Leesburg, VA 20176-5179 2015-08-17
1932506821 Orthotic Prosthetic Center, Inc. Prosthetic/Orthotic Supplier 224 Cornwall St Nw, Cornwall Pavilion Building 224-d Suite 200b, Leesburg, VA 20176-2701 2014-11-21
1295088896 Hattingh Incorporated Prosthetic/Orthotic Supplier 44115 Woodridge Pkwy, Suite 180, Leesburg, VA 20176-5199 2012-10-19
1518050160 Hanger Prosthetics & Orthotics East, Inc. Prosthetic/Orthotic Supplier 601 E Dixie Ave, Suite 803, Leesburg, FL 34748-5953 2006-10-02
1114962677 Beacon Vision Center, Inc Prosthetic/Orthotic Supplier 1320 Shelfer St, Leesburg, FL 34748-3929 2006-06-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548869324 Reach Orthotic & Prosthetic Service, Inc. Prosthetic/Orthotic Supplier 4057 Taylor Rd Ste P, Chesapeake, VA 23321-5527 2020-10-22
1982203709 Reach Orthotic & Prosthetic Service, Inc. Prosthetic/Orthotic Supplier 211 Bulifants Blvd Ste B, Williamsburg, VA 23188-5741 2020-10-22
1225637028 Reach Orthotic & Prosthetic Service, Inc. Prosthetic/Orthotic Supplier 6251 E Virginia Beach Blvd Ste 135, Norfolk, VA 23502-2824 2020-10-22
1326657818 Hairsonality Rx Prosthetic/Orthotic Supplier 110 Coliseum Xing # 5126, Hampton, VA 23666-5971 2020-07-30
1699393850 Bionic Innovations LLC Prosthetic/Orthotic Supplier 896 Haden Ln, Crozet, VA 22932-2833 2020-07-13
1821610361 Takeria Lewis Prosthetic/Orthotic Supplier 300 Karl Linn Dr Apt 115, North Chesterfield, VA 23225-6979 2020-05-06
1033740139 Hair Saviours Prosthetic/Orthotic Supplier 25 Cornerstone Dr, Stafford, VA 22554-6208 2020-01-28
1689212078 Monica Evette Dickenson Prosthetic/Orthotic Supplier 2001 Southampton St, Woodbridge, VA 22191-2660 2019-12-16
1588202105 Boston Brace International Inc. Prosthetic/Orthotic Supplier 7301 Forest Ave Ste 202, Richmond, VA 23226-3792 2019-12-13
1396388187 Seven Degree North Hair Prosthetic/Orthotic Supplier 700 Lombardy Ave Apt 7402, Newport News, VA 23606-3367 2019-10-24
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Competitor

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City LEESBURG
Zip Code 20176

Improve Information

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Dataset Information

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.

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