One Step Orthotic Laboratory LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

B602611 Issued in VA

Legal business name

ONE STEP ORTHOTIC LABORATORY LLC

Practice address

21785 Filigree CT
#211
Ashburn, VA 20147-6213

Phone

(703) 858-5373

Fax

(703) 858-5374

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Mayis Patatanian

Title

Owner

Phone

(703) 858-5373

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1891878567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21785 FILIGREE CT",
            "address_2": "#211",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476213",
            "telephone_number": "703-858-5373",
            "fax_number": "703-858-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21785 FILIGREE CT",
            "address_2": "#211",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476213",
            "telephone_number": "703-858-5373",
            "fax_number": "703-858-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE STEP ORTHOTIC LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "PATATANIAN",
        "authorized_official_first_name": "MAYIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-858-5373"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "VA",
            "license": "B602611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "188613",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010188024",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Ashburn, VA
• Providers in Ashburn, 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 Feb 14, 2011; 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.