Organization Active NPI

Fit My Feet Orthotic Lab and Shoes

  • Prosthetic/Orthotic Supplier
  • Sioux Falls, SD
National Provider Identifier
1184960965
Registry record updated Dec 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
FIT MY FEET ORTHOTIC LAB AND SHOES
Practice address
2105B S Minnesota Ave
Sioux Falls, SD 57105-3709
Phone
(402) 649-0956
NPI assigned
Dec 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2012

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

Authorized official

Name
Mrs. Charlene Kay Kolterman
Title
Owner/Manager
Phone
(402) 649-0956

Specialties & licenses 1

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

Addresses

Primary practice location

2105B S Minnesota Ave
Sioux Falls, SD 57105-3709

Mailing address

2105B S Minnesota Ave
Sioux Falls, SD 57105-3709
Phone (402) 649-0956

National Provider Directory

National Provider Directory

Locations

2105B S Minnesota Ave
Sioux Falls, SD 57105
Phone (402) 649-0956

NPI Registry JSON

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

{
    "created_epoch": "1356220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356220800000",
    "number": "1184960965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105B S MINNESOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571053709",
            "telephone_number": "402-649-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105B S MINNESOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571053709",
            "telephone_number": "402-649-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT MY FEET ORTHOTIC LAB AND SHOES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-23",
        "last_updated": "2012-12-23",
        "status": "A",
        "authorized_official_last_name": "KOLTERMAN",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "402-649-0956",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2012; 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.