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CREATIVE ORTHOTIC & PROSTHETIC SERVICES
NPI 1932405404
Prosthetic/Orthotic Supplier in Fort Walton Beach, FL

Active since February 01, 2011
907 MAR WALT DR STE 2011, FORT WALTON BEACH, FL 32547(850) 226-8546 Get Directions Write a Review

NPPES record last updated: February 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Creative Orthotic & Prosthetic Services NPPES

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

CREATIVE ORTHOTIC & PROSTHETIC SERVICES (NPI 1932405404) is a healthcare organization registered as a prosthetic/orthotic supplier in Fort Walton Beach, Florida and active in the NPI registry since February 2011. The organization lists Mary Mata, Vice President, as its authorized official.

NPPES Registry Identity

NPI1932405404
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameCREATIVE ORTHOTIC & PROSTHETIC SERVICES
Location Address907 MAR WALT DR STE 2011Fort Walton Beach, FL 32547-6756
Mailing Address907 Mar Walt Dr Ste 2011Fort Walton Beach, FL 32547-6756 · (850) 226-8546
Phone(850) 226-8546
Organization SubpartNo
Authorized OfficialMary MataVice President · (850) 226-8546
Enumeration DateFebruary 1, 2011
✔ NPI 1932405404 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.
907 MAR WALT DR STE 2011, Fort Walton Beach, FL 32547
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Other Identifiers 2

Medicaid032149400FL
Medicare UPIN5941110001FL

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 & Prosthetic Services's NPI number?

The NPI number for Creative Orthotic & Prosthetic Services is 1932405404. It was assigned to this organization in the NPPES registry on February 1, 2011.

Where is Creative Orthotic & Prosthetic Services located?

Creative Orthotic & Prosthetic Services is located at 907 Mar Walt Dr Ste 2011, Fort Walton Beach, FL 32547. The listed phone number is (850) 226-8546.

What is Creative Orthotic & Prosthetic Services'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 & Prosthetic Services was last updated on February 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.