Lite Step Podiatry Wellness PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N005499 Issued in NY

Legal business name

LITE STEP PODIATRY WELLNESS PC

Practice address

6302 Route 25a
Wading River, NY 11792-2026

Phone

(631) 707-8771

NPI assigned

Jul 10, 2012

Last updated

Apr 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Nicholas, DPM

Title

President

Phone

(631) 707-8771

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1073878567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ARBORVITAE LN",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117643020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6302 ROUTE 25A",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922026",
            "telephone_number": "631-707-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITE STEP PODIATRY WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-707-8771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Laux, LMT
• Maxine Marie Lee, RN
• Juliet Jean Lehman, OTR
• Leisure Physical Therapy PC
• Courtney Danielle Lewis
• Lite Step Podiatry Wellness, PC
• Little Flower & Children & Family Services
• Little Flower Children & Family Services
• Little Flower Children & Family Services
• Little Flower Children & Family Services

• Podiatrist in Wading River, NY
• Providers in Wading River, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.