Creative Orthotics LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CREATIVE ORTHOTICS LLC

Practice address

7031 Grand National Dr Ste 100a
Orlando, FL 32819-8905

Phone

(407) 367-9149

NPI assigned

Mar 7, 2018

Last updated

Mar 7, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Novack

Title

Owner

Phone

(407) 367-9149

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1841792652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7031 GRAND NATIONAL DR STE 100A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198905",
            "telephone_number": "407-367-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7031 GRAND NATIONAL DR STE 100A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198905",
            "telephone_number": "407-367-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "NOVACK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-367-9149"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Creative Mental Health Inc
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• Creative Speech Solutions & Therapy
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• Creator Original Services Inc

• Durable Medical Equipment & Medical Supplies in Orlando, FL
• Providers in Orlando, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.