MEDICARE: REACH ORTHOTIC & PROSTHETIC SERVICE 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

General Provider Information

NPI Number	:	1548869324
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REACH ORTHOTIC & PROSTHETIC SERVICE INC

Provider Business Mailing Address
First Line	:	11747 JEFFERSON AVE STE 5A
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23606-1999
Country	:	US
Telephone Number	:	757-595-9800
Fax Number	:

Provider Business Practice Location Address
First Line	:	4057 TAYLOR RD STE P
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23321-5527
Country	:	US
Telephone Number	:	757-673-2000
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JOHN M BOGGS
Credential	:
Telephone Number	:	757-236-1675

Provider Enumeration Date	:	10/22/2020
Last Update Date	:	12/04/2025

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