NPIMap

Organization Active NPI

Prostride Orthotics LLC

  • Pedorthist
  • Henrico, VA
National Provider Identifier
1477077113
Registry record updated Oct 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
License
4134 Issued in VA
Legal business name
PROSTRIDE ORTHOTICS LLC
Practice address
2610 Gaskins Rd Ste a
Henrico, VA 23238-1403
Phone
(804) 310-3894
NPI assigned
Aug 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2024

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

Authorized official

Name
Bharti Mehta, C.PED, CFONPI 1407382948
Title
Pedorthist
Phone
(804) 310-3894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PedorthistGroup: 193400000X SINGLE SPECIALTY GROUP 224L00000X 4134 VA Primary

Addresses

Primary practice location

2610 Gaskins Rd Ste a
Henrico, VA 23238-1403

Mailing address

PO Box 5382
Glen Allen, VA 23058-5382
Phone (804) 310-3894

National Provider Directory

National Provider Directory

Locations

9609 Gayton Rd
Ste 102
Richmond, VA 23238

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728777600000",
    "number": "1477077113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5382",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230585382",
            "telephone_number": "804-310-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 GASKINS RD STE A",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232381403",
            "telephone_number": "804-310-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTRIDE ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2024-10-13",
        "certification_date": "2024-10-13",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "BHARTI",
        "authorized_official_title_or_position": "PEDORTHIST",
        "authorized_official_telephone_number": "804-310-3894",
        "authorized_official_credential": "C.PED, CFO"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pedorthist",
            "state": "VA",
            "license": "4134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.