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

The Custom Source Inc

Organization Orthotist · NPI 1114902665

The Custom Source Inc is an Orthotist in Matthews, North Carolina. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1013 Chestnut Ln Ste 120
Matthews, NC 28104-8567
Phone: (704) 893-5457
Fax: (704) 973-0696
Show map & directions

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

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X
Orthotist Taxonomy 222Z00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1114902665
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kasey Rolfes — Operations Manager · (704) 893-5457
NPI enumeratedDecember 7, 2005
Last updated in NPPESJuly 21, 2022
Mailing address1013 Chestnut Ln Ste 120, Matthews, NC 28104-8567

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