Organization Active NPI

Foot Fitness

  • Prosthetic/Orthotic Supplier
  • Redmond, OR
National Provider Identifier
1164610846
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
FOOT FITNESS
Practice address
258 SW 5TH St Ste 2
Redmond, OR 97756-2150
Phone
(541) 923-2552
Fax
(541) 923-3224
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Todd J Nelson, CPO
Title
VP
Phone
(503) 364-6006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

258 SW 5TH St Ste 2
Redmond, OR 97756-2150

Mailing address

PO Box 7339
Salem, OR 97303-0102
Phone (503) 364-6006

National Provider Directory

National Provider Directory
Tax ID family
Foot Fitness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1164610846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7339",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973030102",
            "telephone_number": "503-364-6006",
            "fax_number": "503-364-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 SW 5TH ST STE 2",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562150",
            "telephone_number": "541-923-2552",
            "fax_number": "541-923-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "503-364-6006",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.