IndividualActive
Benjamin Fortson, MPO, CPO
NPI 1497296537 · Prosthetist · Rockville, MD
Provider details
- NPI number
- 1497296537
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPO, CPO
- Sex
- Male
- Sole proprietor
- No
- License
- CO005694 (DE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
15200 Shady Grove Rd Ste 102
Rockville, MD 20850-3218
Phone: (240) 261-4229
Fax: (240) 261-4489
Approximate (ZIP-level) locationGet directions
Mailing address
15200 Shady Grove Rd Ste 102
Rockville, MD 20850-3218
Additional practice locations (1)
- 73 Thomas Johnson Dr Ste BFrederick, MD 21702-4426Phone: (301) 698-4692Fax: (301) 698-4693
Registry dates
- Enumerated
- 2017-03-08
- Last updated
- 2018-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.