Organization Active NPI

Virginia Orthotics Center, Inc.

  • Prosthetic/Orthotic Supplier
  • Richmond, VA
National Provider Identifier
1609987023
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
001368091-4 Issued in VA
Legal business name
VIRGINIA ORTHOTICS CENTER, INC.
Practice address
2107 N Hamilton St Ste D
Richmond, VA 23230-4116
Phone
(804) 358-7669
Fax
(804) 358-7398
NPI assigned
Aug 31, 2006
Last updated
Jan 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Mr. Tarif I. Zaki, C.O.NPI 1043373780
Title
Owner/Orthotist
Phone
(804) 358-7669

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
Prosthetic/Orthotic Supplier 335E00000X 001368091-4 VA Primary

Addresses

Primary practice location

2107 N Hamilton St Ste D
Richmond, VA 23230-4116

Mailing address

2107 N Hamilton St Ste D
Richmond, VA 23230-4116
Phone (804) 358-7669

Other identifiers 5

IdentifierTypeStateIssuer
055963OtherVAANTHEM BCBS
009130055MedicaidVA
0727314OtherVACIGNA HEALTHCARE
149673400OtherVADEPARTMENT OF LABOR
77356OtherVAOPTIMA HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930013564 VA DME Supplier - Orthotic Personnel 7618094350 Practice locations: Richmond, VA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Virginia Orthotics Center, Inc.2107 N Hamilton St, Richmond, VA 23230-4116(804) 358-7669 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

2107 N Hamilton St
Ste D
Richmond, VA 23230
Phone (804) 358-7669

2119 N Hamilton St
Ste A
Richmond, VA 23230

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1609987023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 N HAMILTON ST STE D",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304116",
            "telephone_number": "804-358-7669",
            "fax_number": "804-358-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 N HAMILTON ST STE D",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304116",
            "telephone_number": "804-358-7669",
            "fax_number": "804-358-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA ORTHOTICS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "ZAKI",
        "authorized_official_first_name": "TARIF",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "OWNER/ORTHOTIST",
        "authorized_official_telephone_number": "804-358-7669",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "VA",
            "license": "001368091-4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "055963",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009130055",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "0727314",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "149673400",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA  HEALTH",
            "identifier": "77356",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.