MEDICARE: B.A.KNOTT PROSTHETICS, INC.

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	335E00000X	Prosthetic/Orthotic Supplier		VA
2	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	034118	OTHER	VA	ANTHEM PROVIDER #

General Provider Information

NPI Number	:	1306891247
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B.A.KNOTT PROSTHETICS, INC.

Provider Business Mailing Address
First Line	:	4912 W MARSHALL ST
Second Line	:	SUITE 101
City	:	RICHMOND
State	:	VA
Zip	:	23230-3127
Country	:	US
Telephone Number	:	804-355-4773
Fax Number	:	804-359-7268

Provider Business Practice Location Address
First Line	:	4912 W MARSHALL ST
Second Line	:	SUITE 101
City	:	RICHMOND
State	:	VA
Zip	:	23230-3127
Country	:	US
Telephone Number	:	804-355-4773
Fax Number	:	804-359-7268

Authorized Official
Title or Position	:	VICEPRESIDENT/OWNER
Name	:	MRS. LINDA MILLS KNOTT
Credential	:
Telephone Number	:	804-355-4773

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	09/11/2025

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