Prince William Orthotics & Prosthetics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PRINCE WILLIAM ORTHOTICS & PROSTHETICS LLC

Doing business as

Prince William O & P LLC

Practice address

10322 Battleview Pkwy
Manassas, VA 20109-2338

Phone

(703) 368-7967

Fax

(703) 368-7867

NPI assigned

Jun 27, 2007

Last updated

Mar 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Albert J. Garney, CPO

Title

Chief Executive Officer

Phone

(703) 386-7967

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Prince William O & P LLC Doing business as

Locations

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1750588505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10322 BATTLEVIEW PKWY",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092338",
            "telephone_number": "703-368-7967",
            "fax_number": "703-368-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10322 BATTLEVIEW PKWY",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092338",
            "telephone_number": "703-368-7967",
            "fax_number": "703-368-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE WILLIAM ORTHOTICS & PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "GARNEY",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "703-386-7967",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015167912",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "305536",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "331805",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9703085",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014937300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prince William O & P LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prince William O & P LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prince William Hospital (Novant Health Uva Health System Prince William Medical Center)
• Prince William Hospital (Manassas Neonatal Associates, P.C.)
• Prince William OBGYN Associates, LTD.
• Prince William Orthopaedics Hand Surgery Sports Medicine Center,LLC
• Prince William Orthopedics Hand Surgery & Sports Medicine Center
• Prince William Pathology Associates, PC
• Prince William Pediatric Care Inc.
• Prince William Physical Therapy, LLC
• Prince William Urology Associates LTD
• Margaret Laureen Pringle, LCSW

• Prosthetic/Orthotic Supplier in Manassas, VA
• Providers in Manassas, 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 Mar 22, 2019; 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.