Pedorthic Office - Footwear & Orthotics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PEDORTHIC OFFICE - FOOTWEAR & ORTHOTICS, LLC

Practice address

16 N Saturn Ave
Clearwater, FL 33755-6229

Phone

(727) 446-7511

NPI assigned

Apr 20, 2009

Last updated

Apr 20, 2009By 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

Mr. Asim Alli, C.PED

Title

Owner

Phone

(917) 825-4033

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1184867285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 N SATURN AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337556229",
            "telephone_number": "727-446-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 N SATURN AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337556229",
            "telephone_number": "727-446-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDORTHIC OFFICE - FOOTWEAR & ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "ALLI",
        "authorized_official_first_name": "ASIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-825-4033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.PED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida, Inc
• Michelle Lee Pedigo, B.S.
• Kathleen Louise Peditto, M.D.
• Pamela J Pedroncelli, APRN
• Carisa Dawnyeill Peeples, PMHNP
• Ratna Ravi Teja Peesapati, PHARM.D
• Samuel Peillon
• Jason Alexander Peklinsky, MD

• Prosthetic/Orthotic Supplier in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.