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Medsource Orthotics & Prosthetics, Inc

Medsource Orthotics & Prosthetics, Inc is a healthcare organization registered as Prosthetic/Orthotic Supplier in Phoenix, AZ, holding Type 2 (organization) NPI 1386786614 since 2007. The authorized official on file is David Charles, President.

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NPI 1386786614
Entity type Organization (Type 2)
Legal business name Medsource Orthotics & Prosthetics, Inc
Other name <Unavail>
Practice address 3636 N 3RD AVE, SUITE 100, Phoenix, AZ, 85013
Phone 6023953354
Fax 6023953361
Enumeration date 2007-02-13
Last updated in NPPES 2018-09-14

Authorized official

Name David Charles
Title President
Phone 8018906824

Taxonomy & classification

Taxonomy code Specialty Primary License State
335E00000X Prosthetic/Orthotic Supplier Primary
Copy-ready billing details
Provider: Medsource Orthotics & Prosthetics, Inc
NPI: 1386786614
Taxonomy: 335E00000X (Prosthetic/Orthotic Supplier)
Address: 3636 N 3RD AVE, SUITE 100, Phoenix, AZ, 85013

Providers at this address

NPI Name Type Specialty Location
1821610080 Phoenix Rising of Arizona LLC Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility Phoenix, AZ
1457164832 Emily Marhan Individual Clinical Psychologist Phoenix, AZ

Verify this record

Cross-check NPI 1386786614 against the authoritative CMS record: view Medsource Orthotics & Prosthetics, 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

Where is Medsource Orthotics & Prosthetics, Inc located?
The practice location on file with NPPES is in Phoenix, AZ.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-09-14. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-09-14.