The Custom Source Inc

The Custom Source Inc is a healthcare organization registered as Prosthetic/Orthotic Supplier in Matthews, NC, holding Type 2 (organization) NPI 1114902665 since 2005. The authorized official on file is Kasey Rolfes, Operations Manager.

✓ Active NPI ✓ Valid NPI checksum

NPI	1114902665
Entity type	Organization (Type 2)
Legal business name	The Custom Source Inc
Practice address	1013 CHESTNUT LN STE 120, Matthews, NC, 28104
Phone	7048935457
Fax	7049730696
Enumeration date	2005-12-07
Last updated in NPPES	2022-07-21

Authorized official

Name	Kasey Rolfes
Title	Operations Manager
Phone	7048935457

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
222Z00000X	Orthotist	Secondary	—	—
332B00000X	Durable Medical Equipment & Medical Supplies	Secondary	—	—
335E00000X	Prosthetic/Orthotic Supplier	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
0491E	Other	—	BC/BS/NC
7700578	Medicaid	NC	—

Copy-ready billing details

Provider: The Custom Source Inc
NPI: 1114902665
Taxonomy: 335E00000X (Prosthetic/Orthotic Supplier)
Address: 1013 CHESTNUT LN STE 120, Matthews, NC, 28104

Providers at this address

NPI	Name	Type	Specialty	Location
1407848070	Thomas Morgan	Individual	Athletic Trainer	Matthews, NC

Verify this record

Cross-check NPI 1114902665 against the authoritative CMS record: view The Custom Source Inc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-07-21. Verify at npiregistry.cms.hhs.gov.

Where is The Custom Source Inc located?

The practice location on file with NPPES is in Matthews, NC.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-07-21.