SYNERGY ORTHOTICS & PROSTHETICS, LLC – NPI #1083058721
Prosthetic/Orthotic Supplier

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

SYNERGY ORTHOTICS & PROSTHETICS, LLC is a DME Supplier located in ASHBURN, VA. NPPES has assigned the NPI number 1083058721 to SYNERGY ORTHOTICS & PROSTHETICS, LLC on April 24, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.

The NPI profile was previously updated about 5 years ago on Mar 03, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SYNERGY ORTHOTICS & PROSTHETICS, LLC below.

NPI Profile for
SYNERGY ORTHOTICS & PROSTHETICS, LLC

NPI Number
1083058721
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SYNERGY ORTHOTICS & PROSTHETICS, LLC
Primary location
44790 MAYNARD SQ STE 240
ASHBURN, VA 20147-6514
Phone: (571) 442-8514 Fax: (571) 442-8519
1 Other location(s):
44081 Pipeline Plz
Suite 220
Ashburn, VA 20147-5891
Phone: (571) 442-8514
Fax: (571) 442-8519
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHNNY BASKIN
OWNER/ PRACTITIONER
Phone: (703) 209-3790
Updated
Certification Date
Mar 03, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SYNERGY ORTHOTICS & PROSTHETICS, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDDC069832900
MEDICAIDMD3358399-00
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
335E00000X
- Prosthetic/Orthotic Supplier (Primary)
VA CP03073

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.