Healthcare Provider Details

I. General information

NPI: 1225950496
Provider Name (Legal Business Name): ORTHOBIOLOGICS RESEARCH INITIATIVE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11200 ROCKVILLE PIKE STE 230
NORTH BETHESDA MD
20852-7109
US

IV. Provider business mailing address

11200 ROCKVILLE PIKE STE 230
NORTH BETHESDA MD
20852-7109
US

V. Phone/Fax

Practice location:
  • Phone: 703-838-8068
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: COLIN POTTS
Title or Position: COO
Credential:
Phone: 703-838-8068