=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922532548
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CENTERS FOR ADVANCED ORTHOPAEDICS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/20/2017
-----------------------------------------------------
Last Update Date | 11/06/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6710A ROCKLEDGE DR STE 130
-----------------------------------------------------
City | BETHESDA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20817-2843
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-515-0900
-----------------------------------------------------
Fax | 240-912-2381
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6710A ROCKLEDGE DR STE 130
-----------------------------------------------------
City | BETHESDA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20817-2843
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-515-0900
-----------------------------------------------------
Fax | 240-912-2381
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COO
-----------------------------------------------------
Name | RICHARD ROBINSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 301-637-8712
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------