MICHAEL H THEODOULOU NPI 1780859892

NPI Information

  • NPI: 1780859892
  • Provider Name: MICHAEL H THEODOULOU
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Address: 3301 NEW MEXICO AVE NW
    STE 221
    WASHINGTON, DC
    ZIP 20016
  • Phone: (202) 237-0038

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NPI Details

MICHAEL H THEODOULOU is a prosthetic orthotic supplier in Washington, DC. 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. MICHAEL H THEODOULOU NPI is 1780859892. The provider is registered as an organization entity type.

The provider's business location address is:

3301 NEW MEXICO AVE NW
STE 221
WASHINGTON, DC
ZIP 20016-622
Phone: (202) 237-0038
Fax: (202) 237-2551

The provider's authorized official is Michael H Theodoulou .
The authorized official title is President and has the following contact phone number (202) 237-0038.

The enumeration date for this NPI number is 4/29/2008 and was last updated on 4/29/2008.

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 SupplierP0558DISTRICT OF COLUMBIAYes

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
1U28344MEDICARE UPINDISTRICT OF COLUMBIA
2020331900MEDICAIDMARYLAND
30481710001MEDICARE NSCDISTRICT OF COLUMBIA
4607382MEDICARE PINDISTRICT OF COLUMBIA

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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