Healthcare Provider Details
I. General information
NPI: 1578479119
Provider Name (Legal Business Name): STOKED STEPS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/22/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2120 TOMLYNN ST
RICHMOND VA
23230-3317
US
IV. Provider business mailing address
2120 TOMLYNN ST
RICHMOND VA
23230-3317
US
V. Phone/Fax
- Phone: 804-353-9077
- Fax:
- Phone: 804-353-9077
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 222Z00000X |
| Taxonomy | Orthotist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 224P00000X |
| Taxonomy | Prosthetist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRIS
STOKESBARY
Title or Position: OWNER
Credential: CPO
Phone: 804-353-9077