Pedorthic Services PLLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

20174829 Issued in AZ

Legal business name

PEDORTHIC SERVICES PLLC

Doing business as

Foot Fitness Pedorthic Center

Practice address

3264 E Speedway Blvd
Tucson, AZ 85716-3934

Phone

(520) 327-3166

NPI assigned

Jul 30, 2007

Last updated

Jul 30, 2007By 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. Andrew A Kaplan

Title

Manager

Phone

(520) 327-3166

Specialties & licenses 1

Addresses

Other names 1

• Foot Fitness Pedorthic Center Doing business as

Locations

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1215127774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3264 E SPEEDWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163934",
            "telephone_number": "520-327-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3264 E SPEEDWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163934",
            "telephone_number": "520-327-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDORTHIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "520-327-3166",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AZ",
            "license": "20174829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Fitness Pedorthic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pediatric Gastroenterology, PC
• Pediatric Playhouse
• Pediatric Psychology Associates, LTD.
• Pediatric Pulmonary Associates,PC
• Pediatrics GPS, Inc
• Katrina Marie Pedraza
• Dayza Pedrego
• Laura Pedrego
• Wilfredo Manuel Pedreira Garcia, MD
• Gloanna Peek, CPNP

• Prosthetic/Orthotic Supplier in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Prosthetic/Orthotic Supplier in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.