Provider Demographics
NPI:1366443905
Name:US ORTHOTICS & PROSTHETICS, INC.
Entity type:Organization
Organization Name:US ORTHOTICS & PROSTHETICS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REIMBURSEMENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-493-8288
Mailing Address - Street 1:30 TOWN AND COUNTRY DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22405-8711
Mailing Address - Country:US
Mailing Address - Phone:540-899-2655
Mailing Address - Fax:540-899-2767
Practice Address - Street 1:30 TOWN AND COUNTRY DR
Practice Address - Street 2:SUITE 103
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22405-8711
Practice Address - Country:US
Practice Address - Phone:540-899-2655
Practice Address - Fax:540-899-2767
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HANGER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-08-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
VA335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1057650001Medicare NSC
VA1057650001Medicare ID - Type Unspecified