EASTERN CRANIAL AFFILIATES, LLC (NPI# 1437525201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437525201 |
| Entity Type | Organization |
| Organization Name | EASTERN CRANIAL AFFILIATES, LLC |
| Other Organization Name | INFINITE TECHNOLOGIES O&P |
| Practice Address |
44055 Riverside Pkwy Suite 106a Leesburg VA 20176-5179 |
| Mailing Address |
10523 Main St Fairfax VA 22030-3310 |
| Practice Telephone | 7038075899 |
| Mailing Telephone | 7038075899 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |
| Authorized Official Name | MR. JOSEPH F TERPENNING (OWNER) |
| Authorized Official Telephone | 7038075899 |
| Authorized Official Credential | CO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 9190121 | 05 | |
| MD | 510906000 | 05 | |
| DC | 034989100 | 05 |
| Other Name | Type Code |
|---|---|
| Infinite Technologies O&P | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508954157 | Eastern Cranial Affiliates, LLC | Durable Medical Equipment & Medical Supplies | 10523 Main St, Fairfax, VA 22030 | 2006-10-10 |
| 1437689932 | Eastern Cranial Affiliates, LLC | Clinic/Center | 10523 Main St, Fairfax, VA 22030-3310 | 2017-06-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | EASTERN CRANIAL AFFILIATES, LLC | 3900 N. Fairfax Drive, Suite 100, Arlington, Va 22203 |
| Street Address |
44055 RIVERSIDE PKWY SUITE 106A |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-5179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437141173 | Chauncey C Stokes IIi | Obstetrics & Gynecology | 44055 Riverside Pkwy, Suite 220, Leesburg, VA 20176-5179 | 2005-08-18 |
| 1033769906 | Sun Mi Cho | Nurse Practitioner | 44055 Riverside Pkwy, Suite 226, Leesburg, VA 20176 | 2019-09-12 |
| 1184174336 | Loudoun Medical Group . P.c | Internal Medicine | 44055 Riverside Pkwy, Suite 224, Leesburg, VA 20176-5179 | 2016-10-12 |
| 1306277793 | Loudoun Medical Group PC | Internal Medicine | 44055 Riverside Pkwy, Suite 224, Leesburg, VA 20176-5179 | 2013-12-10 |
| 1164778932 | Loudoun Medical Group PC | Internal Medicine | 44055 Riverside Pkwy, Suite 226, Leesburg, VA 20176-5179 | 2012-07-31 |
| 1881974939 | Valerie Sherman Oare | Nurse Practitioner | 44055 Riverside Pkwy, Suite 110, Leesburg, VA 20176-5179 | 2011-08-21 |
| 1801182878 | Janee Mao Leong | Obstetrics & Gynecology | 44055 Riverside Pkwy, Leesburg, VA 20176 | 2011-06-28 |
| 1144558768 | Nehal Jain | Physical Therapist | 44055 Riverside Pkwy, 118, Leesburg, VA 20176-5179 | 2009-11-19 |
| 1740419613 | The Critical Care Company Plc | Specialist | 44055 Riverside Pkwy, Leesburg, VA 20176-5179 | 2009-07-13 |
| 1538312855 | Mary Katherine Pilgrim | Nurse Practitioner | 44055 Riverside Pkwy, Suite 234, Leesburg, VA 20176-5179 | 2008-10-30 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 20176 | ||||
| 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 |
|---|---|---|---|---|
| 1871747386 | M & M Rehab., Inc. | Prosthetic/Orthotic Supplier | 601 E Dixie Ave Ste 806, Leesburg, FL 34748-5994 | 2008-11-11 |
| 1356951651 | Medical Center Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 224d Cornwall St Nw, Leesburg, VA 20176-2713 | 2020-08-03 |
| 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 |
| 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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| 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.