Organization Active NPI

Bio Prosthetic-Orthotic Lab, Inc.

  • Prosthetic/Orthotic Supplier
  • Ashburn, VA
National Provider Identifier
1700972361
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
BIO PROSTHETIC-ORTHOTIC LAB, INC.
Practice address
21785 Filigree Court
Suite 210
Ashburn, VA 20147
Phone
(703) 726-4092
Fax
(703) 726-4095
NPI assigned
Oct 4, 2006
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Mr. Eric Shawn Ford
Title
Office Operations Manager
Phone
(703) 726-4092

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Customized Equipment (DME) 332BC3200X NU
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

21785 Filigree Court
Suite 210
Ashburn, VA 20147

Mailing address

21785 Filigree Court
Suite 210
Ashburn, VA 20147
Phone (703) 726-4092

Other identifiers 3

IdentifierTypeStateIssuer
9190724MedicaidVA
031289800MedicaidDC
255938200MedicaidMD

Other names 1

  • Bio Lab Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930092634 VA DME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Prosthetic PersonnelDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Orthotic Personnel 6901925452 Practice locations: Ashburn, 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
Bio-Prosthetic-Orthotic Lab Inc21785 Filigree CT, Ashburn, VA 20147-6214(703) 726-4092 Contracture Treatment Devices: Dynamic Splint|Canes and/or Crutches|Walkers|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Penile Pumps|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Jan 1, 2003

National Provider Directory

National Provider Directory

Locations

21785 Filigree Ct
Ste 210
Ashburn, VA 20147
Phone (703) 726-4092

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1700972361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21785 FILIGREE COURT",
            "address_2": "SUITE 210",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "20147",
            "telephone_number": "703-726-4092",
            "fax_number": "703-726-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21785 FILIGREE COURT",
            "address_2": "SUITE 210",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "20147",
            "telephone_number": "703-726-4092",
            "fax_number": "703-726-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO PROSTHETIC-ORTHOTIC LAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "OFFICE OPERATIONS MANAGER",
        "authorized_official_telephone_number": "703-726-4092",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9190724",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031289800",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255938200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bio Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.