Active NPI
Alicia Ann Ericson, CPO
- Orthotist
- Fairfax, VA
National Provider Identifier
1346033917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- CPO04168
- Practice address
- 3701 Pender Dr Ste 115
Fairfax, VA 22030-6049 - Phone
- (571) 470-2020
- NPI assigned
- May 27, 2025
- Last updated
- May 27, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | CPO04168 | NU | Primary |
| Prosthetist | 224P00000X | CPO04168 | NU |
Addresses
Primary practice location
3701 Pender Dr Ste 115
Fairfax, VA 22030-6049
Mailing address
3701 Pender Dr Ste 115
Fairfax, VA 22030-6049
Other practice location 1
49 Old Solomons Island Rd Ste 205
Annapolis, MD 21401-3864
Phone (443) 440-5550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Brace International Inc. | Orthotist | Past | Accepting new patients |
| Boston Brace International Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba OP Specialty Bracing
- Prosthetic/Orthotic Supplier
- Phoenix, AZ
- NPI 1902798580
-
dba OP Specialty Bracing
- Prosthetic/Orthotic Supplier
- Annapolis, MD
- NPI 1801329263
Orthotist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1346033917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 PENDER DR STE 115",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 PENDER DR STE 115",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306049",
"telephone_number": "571-470-2020"
}
],
"practiceLocations": [
{
"address_1": "49 Old Solomons Island Rd Ste 205",
"address_purpose": "LOCATION",
"city": "Annapolis",
"state": "MD",
"postal_code": "214013864",
"country_code": "US",
"telephone_number": "443-440-5550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERICSON",
"first_name": "ALICIA",
"middle_name": "ANN",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-27",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "NU",
"license": "CPO04168",
"primary": true
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "NU",
"license": "CPO04168",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.