Thomas G. Powell, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

THOMAS G. POWELL, INC.

Doing business as

Powell Orthotics & Prosthetics

Practice address

2034 Dabney Rd
Suite C
Richmond, VA 23230-3361

Phone

(804) 649-9043

Fax

(804) 783-8212

NPI assigned

Oct 13, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Richard Monteiro Sr., CPNPI 1669544631

Title

Corp Sec. Treasurer

Phone

(804) 649-9043

Specialties & licenses 1

Addresses

Other identifiers 13

Other names 1

• Powell Orthotics & Prosthetics Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Richard Monteiro Sr., CP

  • Prosthetist
  • Richmond, VA
  • NPI 1669544631
  NPD Authorized official
• Scott James Campbell, C.PED.

  • Specialist
  • Richmond, VA
  • NPI 1750559860
  NPD (past)
• Holli D Childress, COF, CFO

  • Orthotic Fitter
  • Richmond, VA
  • NPI 1164622619
  NPD (past)
• Beth Martin

  • Orthotist
  • Richmond, VA
  • NPI 1164887931
  NPD (past)
• Thomas Mitchell Powell, CO

  • Orthotist
  • Richmond, VA
  • NPI 1932273232
  NPD (past)
• Joe Lowry Sullivan, CP

  • Prosthetist
  • Richmond, VA
  • NPI 1023182326
  NPD (past)
• Byron Lee White, C.O.F

  • Orthotic Fitter
  • Richmond, VA
  • NPI 1962552992
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1295723195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 DABNEY RD",
            "address_2": "SUITE C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303361",
            "telephone_number": "804-649-9043",
            "fax_number": "804-783-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 DABNEY RD",
            "address_2": "SUITE C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303361",
            "telephone_number": "804-649-9043",
            "fax_number": "804-783-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS G. POWELL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "MONTEIRO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CORP SEC. TREASURER",
        "authorized_official_telephone_number": "804-649-9043",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004385092",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009190082",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARENET",
            "identifier": "87",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "148785100",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMEIR HP",
            "identifier": "9190082",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "63730",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN CHOICE HP",
            "identifier": "AN01",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2056388",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDPIA",
            "identifier": "252386",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "82-00022",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009130004",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "062896",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "51951",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Powell Orthotics & Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Powell Orthotics & Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl Thimothi, OD
• William A Thistlethwaite, MD
• Christopher Thoene, DPT
• Tiontae Thomas Clarke
• Thomas Faragher
• Thomas L Moffatt, MD
• Amy M. Thomas-Harmon, LCSW
• Addison James Thomas, COTA/L
• Alexandra Nicole Thomas, OTR/L
• Alyssa Amalia Thomas, RD

• Prosthetic/Orthotic Supplier in Richmond, VA
• Providers in Richmond, VA by specialty
• Prosthetic/Orthotic Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.