Final Kick Ankle and Foot Clinic LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1891082830 Issued in UT

Legal business name

FINAL KICK ANKLE AND FOOT CLINIC LLC

Practice address

348 E 4500 S
Suite 370
Salt Lake City, UT 84107-3906

Phone

(804) 687-5191

NPI assigned

Feb 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Selina Sekulic, DPMNPI 1891082830

Title

President

Phone

(804) 687-5191

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Final Kick Ankle and Foot Clinic LLC

  • Foot Surgery Podiatrist
  • Moab, UT
  • NPI 1730697897
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Selina Sekulic, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Salt Lake City, UT
  • NPI 1891082830
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1154860823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 E 4500 S",
            "address_2": "SUITE 370",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073906",
            "telephone_number": "804-687-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 E 4500 S",
            "address_2": "SUITE 370",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073906",
            "telephone_number": "804-687-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINAL KICK ANKLE AND FOOT CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "SEKULIC",
        "authorized_official_first_name": "SELINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-687-5191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "1891082830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Fillnow
• Francis M Filloux, MD
• Maya Filon, DDS
• Mikolaj J. Filon, MD
• Michael Filtz, PHARMD
• Joseph Makaafi Finau
• Katherine Finch Mendes, CSW, ECMH-E
• Amy Marie Finch, MED CCC SLP
• Benjamin Finch, DO
• Finding Home Healthcare, Inc.

• Foot & Ankle Surgery Podiatrist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Foot & Ankle Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.