OrganizationActive
Creative Orthotic Laboratory
NPI 1306803218 · Prosthetic/Orthotic Supplier · Glendale, AZ
Creative Orthotic Laboratory is a Prosthetic/Orthotic Supplier organization in Glendale, AZ (NPI 1306803218).
Provider details
- NPI number
- 1306803218
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Mark Gorman, C.e.o.(623) 934-3213
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8608 N 59th Ave
Glendale, AZ 85302-5404
Phone: (623) 934-3213
Fax: (623) 930-1891
Street-level locationGet directions
Mailing address
8608 N 59th Ave
Glendale, AZ 85302-5404
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2020-08-22
Frequently asked questions
- What is Creative Orthotic Laboratory's NPI number?
- Creative Orthotic Laboratory's National Provider Identifier (NPI) is 1306803218, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Creative Orthotic Laboratory?
- Creative Orthotic Laboratory is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Creative Orthotic Laboratory located?
- Creative Orthotic Laboratory's practice location on file with NPPES is 8608 N 59th Ave, Glendale, AZ 85302-5404.
- What is Creative Orthotic Laboratory's phone number?
- The practice phone number listed in the NPPES registry for Creative Orthotic Laboratory is (623) 934-3213.
- Who is the authorized official for Creative Orthotic Laboratory?
- The authorized official listed on Creative Orthotic Laboratory's NPPES record is Mark Gorman, C.e.o.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Creative Orthotic Laboratory's NPI active?
- Yes — Creative Orthotic Laboratory's NPI (1306803218) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.