Williamsburg Orthotics and Prosthetics Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

100478 Issued in VA

Legal business name

WILLIAMSBURG ORTHOTICS AND PROSTHETICS INC

Doing business as

Certified Prosthetic & Orthotic Specialist

Practice address

802 Lockwood Ave
Suite B
Newport News, VA 23602-4479

Phone

(757) 833-0911

Fax

(757) 833-1099

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Barry K Kelley, CPO C.PED

Title

President

Phone

(757) 833-0911

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Certified Prosthetic & Orthotic Specialist Doing business as

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1497856710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 LOCKWOOD AVE",
            "address_2": "SUITE B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024479",
            "telephone_number": "757-833-0911",
            "fax_number": "757-833-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 LOCKWOOD AVE",
            "address_2": "SUITE B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024479",
            "telephone_number": "757-833-0911",
            "fax_number": "757-833-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG ORTHOTICS AND PROSTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-833-0911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO C.PED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "VA",
            "license": "100478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VERISYSTEMS",
            "identifier": "116688",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "261848",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009190392",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Certified Prosthetic & Orthotic Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sumer Nicole Williams, D.P.T.
• Tabitha B Williams, OT
• Tamara Lynn Williams
• Tamara Patrice Williams, LPC
• Verneeta Lynne Williams, MD
• Williamsburg Pediatric Dentistry PLLC
• Bridgitte Willis-Townsell
• Jessica Willis, FNP-BC
• Mary E Willis, NP
• Nicole Willis, NP

• Prosthetic/Orthotic Supplier in Newport News, VA
• Providers in Newport News, 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 Oct 18, 2007; 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.