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: August 09, 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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Orthotic Lab's NPI number?

The NPI number for Orthotic Lab is 1063990927. It was assigned to this organization in the NPPES registry on August 2, 2018.

Where is Orthotic Lab located?

Orthotic Lab is located at 800 8th Ave Ste 536, Fort Worth, TX 76104. The listed phone number is (817) 332-5500.

What is Orthotic Lab's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Orthotic Lab was last updated on August 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.