Creative Orthotic Laboratory

Creative Orthotic Laboratory is a healthcare organization registered as Prosthetic/Orthotic Supplier in Glendale, AZ, holding Type 2 (organization) NPI 1306803218 since 2006. The authorized official on file is Mark Gorman, C.E.O..

✓ Active NPI ✓ Valid NPI checksum

NPI	1306803218
Entity type	Organization (Type 2)
Legal business name	Creative Orthotic Laboratory
Practice address	8608 N 59TH AVE, Glendale, AZ, 85302
Phone	6239343213
Fax	6239301891
Enumeration date	2006-04-26
Last updated in NPPES	2020-08-22

Authorized official

Name	Mark Gorman
Title	C.E.O.
Phone	6239343213

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
335E00000X	Prosthetic/Orthotic Supplier	Primary	—	—

Copy-ready billing details

Provider: Creative Orthotic Laboratory
NPI: 1306803218
Taxonomy: 335E00000X (Prosthetic/Orthotic Supplier)
Address: 8608 N 59TH AVE, Glendale, AZ, 85302

Providers at this address

NPI	Name	Type	Specialty	Location
1508089624	59th Avenue Surgical Facility, Ltd	Organization	Ambulatory Surgical Clinic/Center	Glendale, AZ
1033325097	Footcare Center - Dr. Mark Gorman, PC	Organization	Foot & Ankle Surgery Podiatrist	Glendale, AZ
1912283953	Creative Orthotic Labs	Organization	Prosthetic/Orthotic Supplier	Glendale, AZ
1225399736	Scott Marquard	Individual	Family Medicine Physician	Glendale, AZ
1215299946	Aspen Calkins	Individual	Internal Medicine Physician	Glendale, AZ
1134596174	Thunderbird Family Medicine Ltd	Organization	Family Medicine Physician	Glendale, AZ
1477059012	Michael Albertson	Individual	Physician Assistant	Glendale, AZ
1306327234	Mickaela O'Neill	Individual	Physician Assistant	Glendale, AZ

Verify this record

Cross-check NPI 1306803218 against the authoritative CMS record: view Creative Orthotic Laboratory 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

Where is Creative Orthotic Laboratory located?

The practice location on file with NPPES is in Glendale, AZ.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.