EMERGE EMPOWERMENT MOVEMENT
NPI 1609389725
Prosthetic/Orthotic Supplier in Largo, MD

Active since November 10, 2017
872 LARGO CENTER DR, LARGO, MD 20774(202) 321-0272 Get Directions Write a Review

NPPES record last updated: November 10, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Prosthetic/Orthotic Supplier

About EMERGE EMPOWERMENT MOVEMENT

This page provides the complete NPI Profile along with additional information for Emerge Empowerment Movement, a provider established in Largo, Maryland operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1609389725 assigned on November 2017. The practitioner's primary taxonomy code is 335E00000X with license number 219400 (MD). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is La Chett Katrenia Landrum Cosmetologist (Executive Director)

NPI
1609389725 Verify this NPI
Provider Name
EMERGE EMPOWERMENT MOVEMENT
Entity Type
Organization
Location Address
872 LARGO CENTER DR LARGO, MD 20774
Location Phone
(202) 321-0272
Mailing Address
5835 FISHER RD APT 12 TEMPLE HILLS, MD 20748
Mailing Phone
(202) 321-0272
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-10-2017
Last Update Date
11-10-2017
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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.
219400
License State
MD
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.

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

LA CHETT KATRENIA LANDRUM COSMETOLOGIST

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(202) 321-0272

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609389725, enumerated as an "organization" on November 10, 2017.

The provider is located at 872 LARGO CENTER DR LARGO, MD 20774 and the phone number is (202) 321-0272.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.