SYNERGY ORTHOTICS & PROSTHETICS, LLC
NPI 1083058721
Prosthetic/Orthotic Supplier in Ashburn, VA

NPI Status: Active since April 24, 2013

Contact Information

44790 MAYNARD SQ STE 240
ASHBURN, VA
ZIP 20147
Phone: (571) 442-8514
Fax: (571) 442-8519

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  • Organization
  • Prosthetic/Orthotic Supplier
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About SYNERGY ORTHOTICS & PROSTHETICS, LLC

This page provides the complete NPI Profile along with additional information for Synergy Orthotics & Prosthetics, Llc, a provider established in Ashburn, Virginia operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1083058721 assigned on April 2013. The practitioner's primary taxonomy code is 335E00000X with license number CP03073 (VA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Johnny Emmanuel Baskin Cp (Owner/ Practitioner)

NPI
1083058721
Provider Name
SYNERGY ORTHOTICS & PROSTHETICS, LLC
Entity Type
Organization
Location Address
44790 MAYNARD SQ STE 240 ASHBURN, VA 20147
Location Phone
(571) 442-8514
Location Fax
(571) 442-8519
Mailing Address
44790 MAYNARD SQ STE 240 ASHBURN, VA 20147
Mailing Phone
(571) 442-8514
Mailing Fax
(571) 442-8519
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-24-2013
Last Update Date
03-03-2021
Code Navigator



Synergy Orthotics & Prosthetics, Llc is a medicare supplier with PTAN 20522393 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Breast Prostheses and/or Accessories or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.

Location Map

Secondary Locations

  • 44081 Pipeline Plz Suite 220
    Ashburn, VA 20147
    (571) 442-8514

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
License No.
CP03073
License State
VA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHNNY EMMANUEL BASKIN CP

Authorized Official Title
OWNER/ PRACTITIONER
Authorized Official Phone
(703) 209-3790

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
069832900MEDICAID (05)DC 
3358399-00MEDICAID (05)MD 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20522393
Accepts Medicare Assignment
YES
Specialities List
Orthotic Personnel.
Provider Type List
CERTIFIED ORTH/PROS/PEDORTHIST.
Competitive Bidding
NO

Supplies List

  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra
  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1083058721, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 0 → 0 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 6 + 3 + 0 + 5 + 1 + 6 + 7 + 4 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1083058721.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083058721, enumerated as an "organization" on April 24, 2013.

The provider is located at 44790 MAYNARD SQ STE 240 ASHBURN, VA 20147 and the phone number is (571) 442-8514.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.