MEDICARE: CENTERS FOR ADVANCED ORTHOPAEDICS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1134571169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTERS FOR ADVANCED ORTHOPAEDICS, LLC

Provider Business Mailing Address
First Line	:	6707 DEMOCRACY BLVD STE 504
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-1166
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 CRAIN HWY S STE 402
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-6437
Country	:	US
Telephone Number	:	410-590-0700
Fax Number	:	410-590-0711

Authorized Official
Title or Position	:	COO
Name	:	RICHARD ROBINSON
Credential	:
Telephone Number	:	301-637-8712

Provider Enumeration Date	:	07/01/2016
Last Update Date	:	06/28/2021

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