Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Creative Orthotic & Prosthetic Services

Organization Prosthetic/Orthotic Supplier · NPI 1932405404

Creative Orthotic & Prosthetic Services is a Prosthetic/Orthotic Supplier in Fort Walton Beach, Florida. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

907 Mar Walt Dr Ste 2011
Fort Walton Beach, FL 32547-6756
Phone: (850) 226-8546
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1932405404
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Mata — Vice President · (850) 226-8546
NPI enumeratedFebruary 1, 2011
Last updated in NPPESFebruary 1, 2011
Mailing address907 Mar Walt Dr Ste 2011, Fort Walton Beach, FL 32547-6756

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