Active NPI
BT Orthotic Labs, Inc.
- Durable Medical Equipment & Medical Supplies
- Huntington, NY
National Provider Identifier
1235291378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930050173 | NY | DME Supplier - Orthotic Personnel | 6709076383 | Practice locations: Huntington, NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Durable Medical Equipment & Medical Supplies
- New York, NY
- NPI 1649940388
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.