Healthcare Provider Details

I. General information

NPI: 1922532548
Provider Name (Legal Business Name): CENTERS FOR ADVANCED ORTHOPAEDICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2017
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6710A ROCKLEDGE DR STE 130
BETHESDA MD
20817-2843
US

IV. Provider business mailing address

6710A ROCKLEDGE DR STE 130
BETHESDA MD
20817-2843
US

V. Phone/Fax

Practice location:
  • Phone: 301-515-0900
  • Fax: 240-912-2381
Mailing address:
  • Phone: 301-515-0900
  • Fax: 240-912-2381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: RICHARD ROBINSON
Title or Position: COO
Credential:
Phone: 301-637-8712