Healthcare Provider Details

I. General information

NPI: 1982203709
Provider Name (Legal Business Name): REACH ORTHOTIC & PROSTHETIC SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2020
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 BULIFANTS BLVD STE B
WILLIAMSBURG VA
23188-5741
US

IV. Provider business mailing address

11747 JEFFERSON AVE STE 5A
NEWPORT NEWS VA
23606-1999
US

V. Phone/Fax

Practice location:
  • Phone: 757-595-9800
  • Fax:
Mailing address:
  • Phone: 757-595-9800
  • Fax: 757-595-2722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: JOHN ROBB
Title or Position: PRESIDENT / COO
Credential: CPO
Phone: 757-595-9800