Footprints Fashion Footwear

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FOOTPRINTS FASHION FOOTWEAR

Practice address

79 Costello Rd
Newington, CT 06111-5109

Phone

(860) 666-3100

Fax

(860) 594-0705

NPI assigned

May 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Scott D Cohen

Title

Vice President

Phone

(860) 666-3100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003860263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 COSTELLO RD",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061115109",
            "telephone_number": "860-666-3100",
            "fax_number": "860-594-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 COSTELLO RD",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061115109",
            "telephone_number": "860-666-3100",
            "fax_number": "860-594-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTPRINTS FASHION FOOTWEAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "860-666-3100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Fischler, NP-C
• Janet Elaine Flagg, APRN
• Domenic Flammia, FNP-C
• Colleen Rose Flynn, R.PH.
• Nicole Justine Fontaine, ATC
• Alyssa Kai Forde, LCSW
• Alexander Joseph Fortier, MD
• Michael J Fortin, MD
• Forward Approach Physical Therapy and Wellness LLC
• Ellen Franks, PT

• Durable Medical Equipment & Medical Supplies in Newington, CT
• Providers in Newington, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.