Organization Active NPI

BT Orthotic Labs, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Huntington, NY
National Provider Identifier
1235291378
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BT ORTHOTIC LABS, INC.
Practice address
96 E Main St Unit 1
Huntington, NY 11743-2816
Phone
(631) 470-3778
Fax
(631) 423-1550
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kathryn Anne Bethel
Title
Vice President / Co-Owner
Phone
(631) 470-3778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

96 E Main St Unit 1
Huntington, NY 11743-2816

Mailing address

96 E Main St Unit 1
Huntington, NY 11743-2816
Phone (631) 470-3778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930050173 NY DME Supplier - Orthotic Personnel 6709076383 Practice locations: Huntington, NY

National Provider Directory

National Provider Directory

Locations

200 Marine St
Farmingdale, NY 11735

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1235291378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 E MAIN ST UNIT 1",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432816",
            "telephone_number": "631-470-3778",
            "fax_number": "631-423-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 E MAIN ST UNIT 1",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432816",
            "telephone_number": "631-470-3778",
            "fax_number": "631-423-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BT ORTHOTIC LABS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "BETHEL",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "VICE PRESIDENT / CO-OWNER",
        "authorized_official_telephone_number": "631-470-3778",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.