NPI age
19 years
Enumerated 2006-06-23
● Active
Type 1 · Individual
Marshall R Black, CPO
Black is 1 of 1 orthotist providers in Lewiston and 1 of 4 in Idaho.
Primary specialty
Orthotist
Plus 1 subspecialty
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2007-11-02
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 4 active orthotist providers in Idaho.
NPI age
19 years
↑ 2 yr above median (16 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 75% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Practice location
823 16th Ave
Lewiston, ID 835013733
Mailing address
823 16th Ave
Lewiston, ID 835013733
Specialties
-
Orthotist PrimaryA health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower...
-
ProsthetistA health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs,...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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