Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC
NPI 1720751787
Prosthetic/Orthotic Supplier in Fairfax, VA

Active since July 27, 2021
8330 PROFESSIONAL HILL DR, FAIRFAX, VA 22031(703) 698-5007 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, May 29, 2026, Jul 27, 2021 (3 updates tracked since 2021).

About Medical Center Orthotics And Prosthetics, Llc NPPES

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

MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC (NPI 1720751787), doing business as Formotion Clinic, is a healthcare organization registered as a prosthetic/orthotic supplier in Fairfax, Virginia and active in the NPI registry since July 2021. The organization lists Bradford Neil Gardner, Director, as its authorized official.

NPPES Registry Identity

NPI1720751787
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameMEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC
Location Address8330 PROFESSIONAL HILL DRFairfax, VA 22031-4681
Mailing Address2421 Linden Ln Ste 200Silver Spring, MD 20910-1230 · (301) 585-5347
Organization SubpartNo
Authorized OfficialBradford Neil GardnerDirector · (615) 864-8783
Enumeration DateJuly 27, 2021
Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
NPI 1720751787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
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.
8330 PROFESSIONAL HILL DR, Fairfax, VA 22031

Other Names 1

Doing Business AsFormotion Clinic

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Fairfax carries, from the Medicare DMEPOS supplier directory.

Fairfax

DMEPOS supplier · Fairfax, VAOperated by Medical Center Orthotics And Prosthetics LLC

Does not accept Medicare assignment

Fairfax has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20601725
Medicare Participant SinceJanuary 2, 2003
Supplier Location8330 Professional Hill DrFairfax, VA 22031
Supplier Specialties
MSC With Orthotic-Prosthetic

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
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

Prosthetic/Orthotic Supplier
8330 PROFESSIONAL HILL DR
FAIRFAX, VA 22031

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 Medical Center Orthotics And Prosthetics, LLC's NPI number?

The NPI number for Medical Center Orthotics And Prosthetics, LLC is 1720751787. It was assigned to this organization in the NPPES registry on July 27, 2021. The provider is doing business as ForMotion Clinic.

Where is Medical Center Orthotics And Prosthetics, LLC located?

Medical Center Orthotics And Prosthetics, LLC is located at 8330 Professional Hill Dr, Fairfax, VA 22031. The listed phone number is (703) 698-5007.

What is Medical Center Orthotics And Prosthetics, LLC's specialty?

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

Does Medical Center Orthotics And Prosthetics, LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Fairfax does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Medical Center Orthotics And Prosthetics, LLC was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.