Provider Demographics
NPI:1588610497
Name:ORTHOTIC SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ORTHOTIC SOLUTIONS, LLC
Other - Org Name:ORTHOTIC SOLUTIONS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:STIKELEATHER
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:703-849-9200
Mailing Address - Street 1:9711 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3323
Mailing Address - Country:US
Mailing Address - Phone:240-403-1770
Mailing Address - Fax:
Practice Address - Street 1:9711 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 106
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3323
Practice Address - Country:US
Practice Address - Phone:240-403-1770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty