Active NPI
Luke Stikeleather, C.O.
- Orthotist
- Fairfax, VA
National Provider Identifier
1649638768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- Practice address
- 3023 Hamaker CT
Suite LL-50
Fairfax, VA 22031-2207 - Phone
- (703) 849-8808
- NPI assigned
- Feb 3, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | Primary |
Addresses
Primary practice location
3023 Hamaker CT
Suite LL-50
Fairfax, VA 22031-2207
Mailing address
3023 Hamaker CT
Suite LL-50
Fairfax, VA 22031-2207
Other practice location 1
100 West Rd Ste 202
Towson, MD 21204-2357
Phone (410) 832-3377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO001885 | Other | ORTHOTIST CERTIFICATE |
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 |
|---|---|---|---|
| NSC-B LLC | Past | Accepting new patients | |
| Scoliosis Solutions LLC | Orthotist | Past | Accepting new patients |
| 3D Body Imaging LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiology Clinic/Center
- Fairfax, VA
- NPI 1336508910
-
- Durable Medical Equipment & Medical Supplies
- Fairfax, VA
- NPI 1437557113
Orthotist
-
- Customized Equipment (DME)
- Towson, MD
- NPI 1225556061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1649638768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3023 HAMAKER CT",
"address_2": "SUITE LL-50",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3023 HAMAKER CT",
"address_2": "SUITE LL-50",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312207",
"telephone_number": "703-849-8808"
}
],
"practiceLocations": [
{
"address_1": "100 West Rd Ste 202",
"address_purpose": "LOCATION",
"city": "Towson",
"state": "MD",
"postal_code": "212042357",
"country_code": "US",
"telephone_number": "410-832-3377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STIKELEATHER",
"first_name": "LUKE",
"credential": "C.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORTHOTIST CERTIFICATE",
"identifier": "CO001885",
"state": null
}
],
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.