OrganizationActive
Potomac Cobbler, Inc
NPI 1063667434 · Prosthetic/Orthotic Supplier · Woodbridge, VA
Potomac Cobbler, Inc is a Prosthetic/Orthotic Supplier organization in Woodbridge, VA (NPI 1063667434).
Provider details
- NPI number
- 1063667434
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- James Brown, Sec/Treas. Potomac Cobber, Inc(703) 491-4222
- License
- 1994 (VA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14437 Jefferson Davis Highway
Woodbridge, VA 22191-2805
Phone: (703) 491-4222
Fax: (703) 491-1040
Street-level locationGet directions
Mailing address
14437 Jefferson Davis Highway
Woodbridge, VA 22191-2805
Registry dates
- Enumerated
- 2008-11-26
- Last updated
- 2008-11-26
Frequently asked questions
- What is Potomac Cobbler, Inc's NPI number?
- Potomac Cobbler, Inc's National Provider Identifier (NPI) is 1063667434, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Potomac Cobbler, Inc?
- Potomac Cobbler, Inc is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Potomac Cobbler, Inc located?
- Potomac Cobbler, Inc's practice location on file with NPPES is 14437 Jefferson Davis Highway, Woodbridge, VA 22191-2805.
- What is Potomac Cobbler, Inc's phone number?
- The practice phone number listed in the NPPES registry for Potomac Cobbler, Inc is (703) 491-4222.
- Who is the authorized official for Potomac Cobbler, Inc?
- The authorized official listed on Potomac Cobbler, Inc's NPPES record is James Brown, Sec/Treas. Potomac Cobber, Inc. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Potomac Cobbler, Inc's NPI active?
- Yes — Potomac Cobbler, Inc's NPI (1063667434) is active in the NPPES registry as of the last update on 2008-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.