Foot Comfort Technologies

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

CPED3653 Issued in WA

Legal business name

FOOT COMFORT TECHNOLOGIES

Practice address

4903 NE St Johns Rd
Vancouver, WA 98661-2546

Phone

(360) 574-6691

Fax

(360) 450-2236

NPI assigned

Jan 24, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Elijah Matthew Hillstrom, C.PEDNPI 1386982452

Title

Owner

Phone

(360) 574-6691

Specialties & licenses 1

Addresses

Other names 1

• Pro Comfort Medical Doing business as

Locations

Practitioners 1

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

• Elijah Matthew Hillstrom, C.PED

  • Pedorthist
  • Vancouver, WA
  • NPI 1386982452
  NPD (past) Authorized official

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1194063255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 NE ST JOHNS RD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986612546",
            "telephone_number": "360-574-6691",
            "fax_number": "360-450-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 NE ST JOHNS RD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986612546",
            "telephone_number": "360-574-6691",
            "fax_number": "360-450-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT COMFORT TECHNOLOGIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "HILLSTROM",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-574-6691",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.PED"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WA",
            "license": "CPED3653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Comfort Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Newton Fong
• Patience Fontaine
• Mary Fontana, LMHC
• Anthony Junious Fontijn
• Ivana Foo
• Alicia Ford, RD, LD, CDE
• Jeffrey Edward Ford, M.D.
• Kimberly Ford
• Mariah Kay Ford
• Rachel Ford, PT

• Customized Equipment (DME) in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Customized Equipment (DME) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.