LUKE STIKELEATHER (NPI# 1649638768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649638768 |
Entity Type | Individual |
Full Name | LUKE STIKELEATHER |
Credential | C.O. |
Practice Address |
3023 Hamaker Ct Suite Ll-50 Fairfax VA 22031-2207 |
Practice Telephone | 7038498808 |
Enumeration Date | 2016-02-03 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ORTHOTIST CERTIFICATE | CO001885 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
100 West Rd Ste 202, Towson, MD 212042357 | 4108323377 |
Street Address |
3023 HAMAKER CT SUITE LL-50 |
City | FAIRFAX |
State | VA |
Zip Code | 22031-2207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023082864 | Ivette Anne Couret | Obstetrics & Gynecology | 3023 Hamaker Ct, Suite 210a, Fairfax, VA 22031-2222 | 2006-02-16 |
1578129359 | Ashleigh Bronwyn Mccoy | Physician Assistant | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2019-05-16 |
1386174084 | Haley Marie Gilmore Smith | Registered Nurse | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2017-06-14 |
1568902567 | Jessica Erin Stafford | Nurse Practitioner | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2017-02-24 |
1770025876 | Margaret Goss | Nurse Practitioner | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2016-11-07 |
1730530486 | Courtney Joy Nahigian | Nurse Practitioner | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2016-06-23 |
1427406727 | Peggy Vollstad | Physician Assistant | 3023 Hamaker Ct, Suite 200, Fairfax, VA 22031-2207 | 2016-05-26 |
1336508910 | 3d Body Imaging LLC | Clinic/Center | 3023 Hamaker Ct, Ll50, Fairfax, VA 22031-2207 | 2016-02-11 |
1437557113 | Scoliosis Solutions LLC | Durable Medical Equipment & Medical Supplies | 3023 Hamaker Ct, Suite Ll-50, Fairfax, VA 22031-2207 | 2014-12-12 |
1407275662 | Meaghan Kelly | Psychiatry & Neurology | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2014-04-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
Find all providers in zip 22031 |
Taxonomy Code | 222Z00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotist |
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
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 |
---|---|---|---|---|
1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
1851883318 | Specialized Orthopaedic Services,inc. | Orthotist | 1951 Evelyn Byrd Ave Ste E, Harrisonburg, VA 22801-3483 | 2018-05-31 |
1366988578 | Emily Kane | Orthotist | 6320 N Center Dr Ste 201, Norfolk, VA 23502-4009 | 2017-01-11 |
1164887931 | Beth Martin | Orthotist | 2034 Dabney Rd Ste C, Richmond, VA 23230-3361 | 2015-12-22 |
1487089124 | Bryan Carroll Fuller | Orthotist | 612 Rio Rd W Ste 5, Charlottesville, VA 22901-1412 | 2013-09-12 |
1215361886 | Michael L. Butts | Orthotist | Dept of Veterans Affairs Hunter Holmes Ctr, 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2013-08-30 |
1447592936 | Joseph L. Lawson | Orthotist | 1135 First Colonial Rd, Virginia Beach, VA 23454-2402 | 2013-03-22 |
1851631105 | Booden Orthopedic & Prosthetic Center Inc | Orthotist | 5511 Princess Anne Rd, Suite 101, Virginia Beach, VA 23462-3321 | 2013-02-25 |
1487905378 | Ksenia Noelle Major | Orthotist | 2139 Staples Mill Rd, Richmond, VA 23230-2905 | 2012-10-02 |
1780982660 | Carter P Williams | Orthotist | 1500 Huguenot Rd, Suite 106, Midlothian, VA 23113-2478 | 2011-03-02 |
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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.