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

Active since April 24, 2013
44790 MAYNARD SQ STE 240, ASHBURN, VA 20147(571) 442-8514(571) 442-8519 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2021, Sep 23, 2020, Apr 3, 2020 (3 updates tracked since 2020).

About Synergy Orthotics & Prosthetics, Llc NPPES

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

SYNERGY ORTHOTICS & PROSTHETICS, LLC (NPI 1083058721) is a healthcare organization registered as a prosthetic/orthotic supplier in Ashburn, Virginia and active in the NPI registry since April 2013. The organization maintains a secondary practice location in Ashburn and lists Johnny Emmanuel Baskin, Owner/ Practitioner, as its authorized official.

NPPES Registry Identity

NPI1083058721
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameSYNERGY ORTHOTICS & PROSTHETICS, LLC
Location Address44790 MAYNARD SQ STE 240Ashburn, VA 20147-6514
Mailing Address44790 Maynard Sq Ste 240Ashburn, VA 20147-6514 · (571) 442-8514 · Fax (571) 442-8519
Phone(571) 442-8514
Fax(571) 442-8519
Organization SubpartNo
Authorized OfficialJohnny Emmanuel BaskinOwner/ Practitioner · (703) 209-3790
Enumeration DateApril 24, 2013
Last NPPES UpdateMarch 3, 20213 updates tracked since enumeration
NPPES CertifiedMarch 3, 2021
✔ NPI 1083058721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License✔ Licensed in VA · CP03073
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.
44790 MAYNARD SQ STE 240, Ashburn, VA 20147
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Secondary Practice Location 1

Location 144081 Pipeline Plz, Suite 220Ashburn, VA 20147-5891 · Phone (571) 442-8514 · Fax (571) 442-8519

Other Identifiers 2

Medicaid069832900DC
Medicaid3358399-00MD

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Synergy Orthotics & Prosthetics, Ll carries, from the Medicare DMEPOS supplier directory.

Synergy Orthotics & Prosthetics, Ll

DMEPOS supplier · Ashburn, VAOperated by Synergy Orthotics & Prosthetics, LLC
✔

Accepts Medicare assignment

Synergy Orthotics & Prosthetics, Ll agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20522393
Medicare Participant SinceMarch 28, 2012
Supplier Location44790 Maynard Sq Ste 240Ashburn, VA 20147
Phone(571) 442-8514
Provider TypeCertified Orth/Pros/Pedorthist
Supplier Specialties
Orthotic Personnel

Medicare Product Categories

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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Synergy Orthotics & Prosthetics, LLC's NPI number?

The NPI number for Synergy Orthotics & Prosthetics, LLC is 1083058721. It was assigned to this organization in the NPPES registry on April 24, 2013.

Where is Synergy Orthotics & Prosthetics, LLC located?

Synergy Orthotics & Prosthetics, LLC is located at 44790 Maynard Sq Ste 240, Ashburn, VA 20147. The listed phone number is (571) 442-8514.

What is Synergy Orthotics & Prosthetics, LLC's specialty?

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

Does Synergy Orthotics & Prosthetics, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Synergy Orthotics & Prosthetics, Ll accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Synergy Orthotics & Prosthetics, LLC was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.