1. Home
  2. Directory
  3. Florida
  4. Fort Walton Beach
  5. Prosthetic Orthotic Supplier
  6. NPI Profile

BAY PROSTHETIC CENTER
NPI 1346245081
Prosthetic/Orthotic Supplier in Fort Walton Beach, FL

Active since June 17, 2005
930 MAR WALT DR, STE D, FORT WALTON BEACH, FL 32547(850) 863-5959(850) 863-5977 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bay Prosthetic Center NPPES

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

BAY PROSTHETIC CENTER (NPI 1346245081) is a healthcare organization registered as a prosthetic/orthotic supplier in Fort Walton Beach, Florida and active in the NPI registry since June 2005. The organization lists Glenn E Cottrill, President/owner, as its authorized official.

NPPES Registry Identity

NPI1346245081
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameBAY PROSTHETIC CENTER
Location Address930 MAR WALT DR, STE DFort Walton Beach, FL 32547-6706
Mailing Address930 Mar Walt Dr, Ste DFort Walton Beach, FL 32547-6706 · (850) 863-5959 · Fax (850) 863-5977
Phone(850) 863-5959
Fax(850) 863-5977
Organization SubpartNo
Authorized OfficialGlenn E CottrillPresident/owner · (850) 863-5959
Enumeration DateJune 17, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1346245081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License✔ Licensed in FL · POR31
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.
930 MAR WALT DR, Fort Walton Beach, FL 32547
Open in Google Maps ↗

Other Identifiers 1

OtherM2541FL · Bcbs Provider Number

Other Providers at the Same Location NPPES 4

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

TRENA RIOS FNP-BC
Nurse Practitioner (Family)
930 MAR WALT DR, UNIT C
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 226-6801
MRS. MINDY HODGELL
Speech-Language Pathologist
930 MAR WALT DR, SUITE D
FT. WALTON BEACH, FL 32547
Okaloosa County (850) 226-8279
DR. UCHE IKE MD
Anesthesiology
930 MAR WALT DR, UNIT C
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 226-6801
MR. EDWARD JAMES DENEAU BC-HIS
Specialist
930 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 374-8000

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 Bay Prosthetic Center's NPI number?

The NPI number for Bay Prosthetic Center is 1346245081. It was assigned to this organization in the NPPES registry on June 17, 2005.

Where is Bay Prosthetic Center located?

Bay Prosthetic Center is located at 930 Mar Walt Dr Ste D, Fort Walton Beach, FL 32547. The listed phone number is (850) 863-5959.

What is Bay Prosthetic Center'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 Bay Prosthetic Center 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.