MEDICARE: PAUL L VALENTINE ORTHOTICS & PROSTHETICS 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	335E00000X	Prosthetic/Orthotic Supplier	CO1423	VA

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

General Provider Information

NPI Number	:	1689779019
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAUL L VALENTINE ORTHOTICS & PROSTHETICS LLC

Provider Business Mailing Address
First Line	:	2139 STAPLES MILL RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-2905
Country	:	US
Telephone Number	:	804-356-2712
Fax Number	:	804-355-2035

Provider Business Practice Location Address
First Line	:	2139 STAPLES MILL RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-2905
Country	:	US
Telephone Number	:	804-356-2712
Fax Number	:	804-355-2035

Authorized Official
Title or Position	:	CERTIFIED ORTHOTIST OWNER
Name	:	PAUL LEONARD VALENTINE
Credential	:
Telephone Number	:	804-356-2712

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	10/06/2025

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