Old Dominion Prosthetics & Orthotics, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

OLD DOMINION PROSTHETICS & ORTHOTICS, INC.

Practice address

1920 Medical Ave
Suite G
Harrisonburg, VA 22801-8016

Phone

(540) 433-3831

Fax

(540) 433-5447

NPI assigned

Sep 20, 2006

Last updated

Jul 21, 2022By 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

Mrs. Catherine B Garrison

Title

Business Manager

Phone

(434) 973-6209

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811095516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 MEDICAL AVE",
            "address_2": "SUITE G",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018016",
            "telephone_number": "540-433-3831",
            "fax_number": "540-433-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 MEDICAL AVE",
            "address_2": "SUITE G",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018016",
            "telephone_number": "540-433-3831",
            "fax_number": "540-433-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD DOMINION PROSTHETICS & ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "434-973-6209",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "106977",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9890034000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas M Oates Jr., MD
• Obsessed Aesthetics PLLC (Obsessed Aesthetics)
• Pablo Ochoa Ochoa
• Diana G Oddenino, N.P.
• Ashley Nicole Oginz-Wilson
• Julia Sarah Oliver
• Jessica Renee Olsen, MA, BCBA, LBA
• Josephine Omari-Yeboah, LNP
• Optima Health Plan (Sentara Community Care Center)
• Tyler Orebaugh

• Customized Equipment (DME) in Harrisonburg, VA
• Providers in Harrisonburg, VA by specialty
• Customized Equipment (DME) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.