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MR. BENJAMIN DALE FORTSON MPO, CPO
NPI 1497296537
Prosthetist in Rockville, MD

Active since March 08, 2017
15200 SHADY GROVE RD STE 102, ROCKVILLE, MD 20850(240) 261-4229(240) 261-4489 Get Directions Write a Review

NPPES record last updated: April 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Benjamin Dale Fortson Mpo, Cpo NPPES

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

MR. BENJAMIN DALE FORTSON MPO, CPO (NPI 1497296537) is an individual prosthetist provider in Rockville, Maryland, licensed in Delaware (CPO04027) and active in the NPI registry since March 2017. He maintains a secondary practice location in Frederick.

NPPES Registry Identity

NPI1497296537
Entity TypeIndividualMale
Primary Taxonomy224P00000X
Provider Legal NameMR. BENJAMIN DALE FORTSONCredential: MPO, CPO
Location Address15200 SHADY GROVE RD STE 102Rockville, MD 20850-3218
Mailing Address15200 Shady Grove Rd Ste 102Rockville, MD 20850-3218 · (240) 261-4229 · Fax (240) 261-4489
Phone(240) 261-4229
Fax(240) 261-4489
Sole ProprietorNo
Enumeration DateMarch 8, 2017
Last NPPES UpdateApril 24, 2018
✔ NPI 1497296537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
License✔ Licensed in DE · CPO04027
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Also ListedOrthotistTaxonomy 222Z00000X · License CO005694 (DE)
15200 SHADY GROVE RD STE 102, Rockville, MD 20850
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Secondary Practice Location 1

Location 173 Thomas Johnson Dr Ste BFrederick, MD 21702-4426 · Phone (301) 698-4692 · Fax (301) 698-4693

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OTTO BOCK PATIENT CARE, LLC
Prosthetic/Orthotic Supplier
15200 SHADY GROVE RD STE 102
ROCKVILLE, MD 20850
Montgomery County (240) 261-4229
KRISTEN ELIZABETH DESJARDINS CPO, FAAOP
Prosthetist
15200 SHADY GROVE RD STE 102
ROCKVILLE, MD 20850
Montgomery County (240) 261-4229

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 Benjamin Fortson's NPI number?

The NPI number for Benjamin Fortson is 1497296537. It was assigned to this individual provider in the NPPES registry on March 8, 2017.

Where is Benjamin Fortson located?

Benjamin Fortson practices at 15200 Shady Grove Rd Ste 102, Rockville, MD 20850. The listed phone number is (240) 261-4229.

What is Benjamin Fortson's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Benjamin Fortson was last updated on April 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.