Organization Active NPI

Footework Therapy, PLLC

  • Speech-Language Pathologist
  • Mint Hill, NC
National Provider Identifier
1164065181
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
FOOTEWORK THERAPY, PLLC
Practice address
9004 Raven Top Dr
Mint Hill, NC 28227-3619
Phone
(704) 561-1019
NPI assigned
Oct 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Authorized official

Name
Aisha Tennell Ramos-Foote, CCC-SLPNPI 1134775893
Title
Owner, Speech Language Pathologist
Phone
(704) 561-1019

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

9004 Raven Top Dr
Mint Hill, NC 28227-3619

Mailing address

9004 Raven Top Dr
Mint Hill, NC 28227-3619
Phone (704) 561-1019

Other names 1

  • Footework Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1164065181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9004 RAVEN TOP DR",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282273619",
            "telephone_number": "704-561-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9004 RAVEN TOP DR",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282273619",
            "telephone_number": "704-561-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTEWORK THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "RAMOS-FOOTE",
        "authorized_official_first_name": "AISHA",
        "authorized_official_middle_name": "TENNELL",
        "authorized_official_title_or_position": "OWNER, SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "704-561-1019",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Footework Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mint Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.