Creative Orthotic & Prosthetic Services
NPI 1770763179 · Durable Medical Equipment & Medical Supplies · Crestview, FL
Creative Orthotic & Prosthetic Services is a Durable Medical Equipment & Medical Supplies organization in Crestview, FL (NPI 1770763179).
Provider details
- NPI number
- 1770763179
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Charles Mata, President(850) 398-8159
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Registry dates
- Enumerated
- 2007-11-14
- Last updated
- 2012-05-31
Frequently asked questions
- What is Creative Orthotic & Prosthetic Services's NPI number?
- Creative Orthotic & Prosthetic Services's National Provider Identifier (NPI) is 1770763179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Creative Orthotic & Prosthetic Services?
- Creative Orthotic & Prosthetic Services is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Creative Orthotic & Prosthetic Services located?
- Creative Orthotic & Prosthetic Services's practice location on file with NPPES is 120 E Redstone Ave, Crestview, FL 32539-5370.
- What is Creative Orthotic & Prosthetic Services's phone number?
- The practice phone number listed in the NPPES registry for Creative Orthotic & Prosthetic Services is (850) 398-8159.
- Who is the authorized official for Creative Orthotic & Prosthetic Services?
- The authorized official listed on Creative Orthotic & Prosthetic Services's NPPES record is Charles Mata, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Creative Orthotic & Prosthetic Services's NPI active?
- Yes — Creative Orthotic & Prosthetic Services's NPI (1770763179) is active in the NPPES registry as of the last update on 2012-05-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.