MEDICARE: OUR S.P.A.C.E. STUDIOS 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1710838958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OUR S.P.A.C.E. STUDIOS LLC

Provider Business Mailing Address
First Line	:	901 H ST NE APT 717
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-7056
Country	:	US
Telephone Number	:	773-339-6228
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 N GLEBE RD STE 100
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-5795
Country	:	US
Telephone Number	:	312-358-4044
Fax Number	:

Authorized Official
Title or Position	:	CRANIAL PROSTHESIS SPECIALIST
Name	:	VICTOR ANTHONY SCOTTI JR.
Credential	:
Telephone Number	:	773-339-6228

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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