GLADYS REA SMITH NPI 1528243508

NPI Information

  • NPI: 1528243508
  • Provider Name: GLADYS REA SMITH
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Doing Business As: LADY M MASTECTOMY BOUTIQUE
  • Address: 50 S PICKETT ST
    SUITE 210
    ALEXANDRIA, VA
    ZIP 22304
  • Phone: (703) 461-7534

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NPI Details

GLADYS REA SMITH is a prosthetic orthotic supplier in Alexandria, VA. The provider is 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. GLADYS REA SMITH NPI is 1528243508. The provider is registered as an organization entity type.
The provider Is Doing Business As Lady M Mastectomy Boutique.

The provider's business location address is:

50 S PICKETT ST
SUITE 210
ALEXANDRIA, VA
ZIP 22304-207
Phone: (703) 461-7534

The provider's authorized official is Gladys Smith .
The authorized official title is Owner and has the following contact phone number (703) 461-7534.

The enumeration date for this NPI number is 1/8/2008 and was last updated on 7/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierC18127MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10668390001MEDICARE NSCVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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