Footprints Eastern PA LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

FOOTPRINTS EASTERN PA LLC

Doing business as

Footprints to Recovery

Practice address

992 Old Eagle School Rd Ste 904
Wayne, PA 19087-1803

Phone

(877) 293-7150

NPI assigned

Aug 25, 2017

Last updated

Aug 25, 2017By 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

Yeshaya Markovits

Title

Cfo

Phone

(732) 903-1964

Specialties & licenses 1

Addresses

Other names 1

• Footprints to Recovery Doing business as

Locations

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503619200000",
    "number": "1093232530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087230090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 OLD EAGLE SCHOOL RD STE 904",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871803",
            "telephone_number": "877-293-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTPRINTS EASTERN PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2017-08-25",
        "status": "A",
        "authorized_official_last_name": "MARKOVITS",
        "authorized_official_first_name": "YESHAYA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "732-903-1964"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Footprints to Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Alfred Fisher, LPC
• Stephanie Fitzgerald, PT, DPT
• Peter Flaherty, DMD
• Skylar Flint
• Katherine Flowers
• Ashleigh Rae Forwood, B.S
• Danielle S Foster, CCC-SLP
• Erica Founds, PT
• Framework Therapy
• Sandra Mae Frankel, M.ED.

• Substance Use Disorder Rehabilitation Clinic/Center in Wayne, PA
• Providers in Wayne, PA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; 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.