POTOMAC COBBLER, INC
NPI 1063667434
Prosthetic/Orthotic Supplier in Woodbridge, VA

Active since November 26, 2008
14437 JEFFERSON DAVIS HIGHWAY, WOODBRIDGE, VA 22191(703) 491-4222(703) 491-1040 Get Directions Write a Review

NPPES record last updated: November 26, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Potomac Cobbler, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POTOMAC COBBLER, INC (NPI 1063667434) is a healthcare organization registered as a prosthetic/orthotic supplier in Woodbridge, Virginia and active in the NPI registry since November 2008. The organization lists James Martin Brown, Sec/treas. Potomac Cobber, Inc, as its authorized official.

NPPES Registry Identity

NPI1063667434
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePOTOMAC COBBLER, INC
Location Address14437 JEFFERSON DAVIS HIGHWAYWoodbridge, VA 22191-2805
Mailing Address14437 Jefferson Davis HighwayWoodbridge, VA 22191-2805 · (703) 491-4222 · Fax (703) 491-1040
Fax(703) 491-1040
Organization SubpartNo
Authorized OfficialJames Martin BrownSec/treas. Potomac Cobber, Inc · (703) 491-4222
Enumeration DateNovember 26, 2008
NPI 1063667434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License Licensed in VA · 1994
Definition

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.

14437 JEFFERSON DAVIS HIGHWAY, Woodbridge, VA 22191

Other Identifiers 1

Medicare NSC1163840001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Potomac Cobbler, Inc's NPI number?

The NPI number for Potomac Cobbler, Inc is 1063667434. It was assigned to this organization in the NPPES registry on November 26, 2008.

Where is Potomac Cobbler, Inc located?

Potomac Cobbler, Inc is located at 14437 Jefferson Davis Highway, Woodbridge, VA 22191. The listed phone number is (703) 491-4222.

What is Potomac Cobbler, Inc's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Potomac Cobbler, Inc was last updated on November 26, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.