Welcome to Custom Orthotics and AFO, a boutique clinic offering personalized, high-quality custom orthotic and prosthetic services just minutes from Union Square. Located in the heart of Manhattan, Gramercy Park, our practice bridges advanced 3D orthotics manufacturing with expert casting to support your rehabilitation and help restore function.




We offer a full spectrum of custom orthotic and prosthetic solutions, always designed with rehabilitation and patient goals in mind. Learn more about: Custom AFO, Ankle & Knee Braces
Precision-fit bracing systems for the spine, upper extremity, and lower extremity:
Advanced limb prostheses engineered for both form and function:
Each prosthetic is designed in close collaboration with rehabilitation specialists and patients, ensuring optimal alignment, socket fit, and confidence in mobility.
Diabetic foot orthoses to reduce risk of ulceration and improve comfort







Customer Choice
We are a rehabilitation-driven practice, where our master orthotist works closely with our physical therapists and where every brace, prosthesis, and custom support is designed for function, comfort, and real-world performance.
Whether you’re recovering from surgery, managing an acute, subacute or chronic foot pain condition, our mission is clear – To maximize your mobility, comfort, and confidence while providing you with the highest standards of service—starting today.
Where Orthotics, Prosthetics, and Rehabilitation Unite
At Custom Orthotics and AFOs, we believe this collaboration is the future of orthotic care. Our practice represents what many consider the most effective integration of disciplines for managing musculoskeletal and neuromotor conditions: orthotics, prosthetics, and physical rehabilitation—working in unison.
This new model of outpatient care that was established by Gene Shenker DPT and goes beyond “fitting a device.” Instead, we focus on individualized quality service and functional goals. Partnering with rehabilitation specialists to ensure every patient receives not just a device, but a plan for recovery and mobility.
Our team is driven by decades of hands-on experience and a dedication to staying at the forefront of biomechanical technology. We’ve launched a service model that combines expert fabrication with patient-centered therapy planning. The result? Orthotic and prosthetic care that adapts, responds, and empowers.
At Gramercy Custom Orthotics & AFO, our orthotics are more than just inserts—they’re tools for full-body alignment.
They help:
Stabilize arches and support natural foot mechanics
Distribute pressure evenly across the foot
Improve walking and running gait
Reduce overload on joints and soft tissues
They’re especially helpful for those with flat feet, overpronation, high arches, or recurring pain during activity.
Our custom insoles for flat feet and beyond are ideal for:
Flat feet or high arches
Plantar fasciitis, Achilles tendonitis, or heel pain
Knee, hip, or lower back pain without a clear cause
Athletes and professionals on their feet all day
Post-surgical recovery for foot or ankle procedures
With Gramercy Physical Therapy’s clinical expertise behind every pair, your orthotics become part of a full treatment journey—not just a quick fix.
Your feet are the base of your body’s entire movement system. Misalignment at the foot or ankle can lead to:
Chronic ankle sprains or tendonitis
Knee pain from improper tracking or torque
Hip stress and imbalanced muscle loading
Low back pain from postural compensation
Our custom orthotics NYC service addresses these problems at the root, helping to prevent further injury and support healthy, pain-free movement.
Drugstore insoles offer temporary cushioning, but they don’t fix the underlying cause of your pain. We provide medical-grade correction through precision technology.
The Clinical Difference:
Precision Fit: While generic insoles are “one-size-fits-all,” our orthotics are built from a personalized 3D medical-grade mold of your unique foot anatomy.
Built to Last: Store-bought inserts typically wear out in 2–6 months; our clinical orthotics are designed for high-level durability, lasting 1–5 years.
Structural Correction: We provide high-level biomechanical alignment to treat the root cause of pain, rather than just adding basic padding.
Integrated Care: Unlike a retail purchase, our orthotics are part of your full physical therapy plan, including gait analysis and functional rehab.
Versatile Comfort: Our slim, precision-engineered design fits discreetly in dress shoes, work boots, and sneakers, avoiding the bulk of generic inserts.



Fill out the form below, and we’ll contact you shortly.
Yes. Many insurance plans cover custom orthotics with a prescription. We’ll help you check your coverage.
On average, 1 to 5 years depending on your activity level and care.
Absolutely. We specialize in custom insoles for flat feet, high arches, and overpronation.
Yes! They’re designed to work with your everyday shoes, including athletic and work footwear.