Organization Active NPI

BT Orthotic Labs, Inc.

  • Durable Medical Equipment & Medical Supplies
  • New York, NY
National Provider Identifier
1649940388
Registry record updated Sep 27, 2021
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
184 E 70TH St Ste B1
New York, NY 10021-5154
Phone
(631) 470-3778
Fax
(631) 423-1550
NPI assigned
Sep 15, 2021
Organization subpart
Yes
Parent organization
BT ORTHOTIC LABS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Authorized official

Name
Kathryn Anne Bethel
Title
Co Owner / Director of Operations
Phone
(631) 470-3778

Specialties & licenses 1

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

Addresses

Primary practice location

184 E 70TH St Ste B1
New York, NY 10021-5154

Mailing address

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

Other practice location 1

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

Other names 1

  • BT Orthotic Labs, Inc. Other name

National Provider Directory

National Provider Directory
Part of
BT Orthotic Labs Inc

Locations

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1649940388",
    "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": "184 E 70TH ST STE B1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215154",
            "telephone_number": "631-470-3778",
            "fax_number": "631-423-1550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "96 E Main St Unit 1",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117432816",
            "country_code": "US",
            "telephone_number": "631-470-3778",
            "fax_number": "631-423-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BT ORTHOTIC LABS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BT ORTHOTIC LABS, INC.",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "BETHEL",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CO OWNER / DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "631-470-3778"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BT Orthotic Labs, Inc.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "BT Orthotic Labs, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.