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CREATIVE ORTHOTIC LABORATORY
NPI 1306803218
Prosthetic/Orthotic Supplier in Glendale, AZ

Active since April 26, 2006
8608 N 59TH AVE, GLENDALE, AZ 85302(623) 934-3213(623) 930-1891 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Creative Orthotic Laboratory NPPES

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

CREATIVE ORTHOTIC LABORATORY (NPI 1306803218) is a healthcare organization registered as a prosthetic/orthotic supplier in Glendale, Arizona and active in the NPI registry since April 2006. The organization lists Mark Richard Gorman, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1306803218
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameCREATIVE ORTHOTIC LABORATORY
Location Address8608 N 59TH AVEGlendale, AZ 85302-5404
Mailing Address8608 N 59th AveGlendale, AZ 85302-5404 · (623) 934-3213 · Fax (623) 930-1891
Phone(623) 934-3213
Fax(623) 930-1891
Organization SubpartNo
Authorized OfficialMark Richard GormanC.e.o. · (623) 934-3213
Enumeration DateApril 26, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1306803218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
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.
8608 N 59TH AVE, Glendale, AZ 85302
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FOOTCARE CENTER - DR. MARK GORMAN, PC
Podiatrist (Foot & Ankle Surgery)
8608 N 59TH AVE
GLENDALE, AZ 85302
Maricopa County (623) 934-3211
THUNDERBIRD FAMILY MEDICINE LTD
Family Medicine
8608 N 59TH AVE
GLENDALE, AZ 85302
Maricopa County (623) 979-2565
DR. ASPEN M CALKINS DO
Internal Medicine
8608 N 59TH AVE
GLENDALE, AZ 85302
Maricopa County (623) 979-2565
SCOTT MARQUARD D.O.
Family Medicine
8608 N 59TH AVE
GLENDALE, AZ 85302
Maricopa County (623) 979-2565
MRS. MICKAELA O'SULLIVAN O'NEILL PA-C
Physician Assistant
8608 N 59TH AVE
GLENDALE, AZ 85302
Maricopa County (623) 979-2565
MICHAEL ANTHONY ALBERTSON PA-C
Physician Assistant
8608 N 59TH AVE
GLENDALE, AZ 85302
Maricopa County (623) 979-2565
59TH AVENUE SURGICAL FACILITY, LTD
Clinic/Center (Ambulatory Surgical)
8608 N 59TH AVE
GLENDALE, AZ 85302
Maricopa County (623) 934-3211
CHRISTINA OHEARN PA-C
Physician Assistant
8608 N 59TH AVE
GLENDALE, AZ 85302
Maricopa County (623) 979-2565

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 Creative Orthotic Laboratory's NPI number?

The NPI number for Creative Orthotic Laboratory is 1306803218. It was assigned to this organization in the NPPES registry on April 26, 2006.

Where is Creative Orthotic Laboratory located?

Creative Orthotic Laboratory is located at 8608 N 59th Ave, Glendale, AZ 85302. The listed phone number is (623) 934-3213.

What is Creative Orthotic Laboratory's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Creative Orthotic Laboratory was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.