ORTHOTIC LAB
NPI 1063990927
Durable Medical Equipment & Medical Supplies - Customized Equipment in Fort Worth, TX

Active since August 02, 2018
800 8TH AVE STE 536, FORT WORTH, TX 76104(817) 332-5500(817) 332-5503 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Orthotic Lab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORTHOTIC LAB (NPI 1063990927) is a healthcare organization registered as a customized equipment in Fort Worth, Texas and active in the NPI registry since August 2018. The organization lists Kevin Rhodes, Owner, as its authorized official.

NPPES Registry Identity

NPI1063990927
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameORTHOTIC LAB
Location Address800 8TH AVE STE 536Fort Worth, TX 76104-2604
Mailing Address800 8th Ave Ste 536Fort Worth, TX 76104-2604 · (817) 332-5500 · Fax (817) 332-5503
Fax(817) 332-5503
Organization SubpartYesParent: Dr Kevin D Rhodes
Authorized OfficialKevin RhodesOwner · (817) 332-5500
Enumeration DateAugust 2, 2018
NPI 1063990927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

800 8TH AVE STE 536, Fort Worth, TX 76104

Other Identifiers 1

Medicaid103849906TX

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063990927, enumerated as an "organization" on August 02, 2018.

The provider is located at 800 8TH AVE STE 536 FORT WORTH, TX 76104 and the phone number is (817) 332-5500.

Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X and a focus in Customized Equipment.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.