Provider Demographics
NPI:1114717709
Name:REACH ORTHOTIC & PROSTHETIC SERVICE, INC.
Entity type:Organization
Organization Name:REACH ORTHOTIC & PROSTHETIC SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBB
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:757-595-9800
Mailing Address - Street 1:11747 JEFFERSON AVE STE 5A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-1999
Mailing Address - Country:US
Mailing Address - Phone:757-595-9800
Mailing Address - Fax:757-595-2722
Practice Address - Street 1:1577 WILROY RD STE 300
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-2435
Practice Address - Country:US
Practice Address - Phone:757-595-2722
Practice Address - Fax:844-223-9188
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REACH ORTHOTIC & PROSTHETIC SERVICE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier