On the Go Toes Inc

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

ON THE GO TOES INC

Practice address

65 Lincoln Ave Ste 1
Rumford, ME 04276-1608

Phone

(207) 200-8814

Fax

(207) 558-8980

NPI assigned

Mar 12, 2021

Last updated

Mar 20, 2021By 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

Brad Dyer

Title

Owner

Phone

(207) 200-8814

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marjorie Hunt, NP

  • Nurse Practitioner
  • Augusta, ME
  • NPI 1346735032
  Medicare reassignment NPD
• Jeffrey D Johnson, DPM

  • Podiatrist
  • Mexico, ME
  • NPI 1295899672
  Medicare reassignment NPD

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616198400000",
    "number": "1215512157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 LINCOLN AVE STE 1",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042761608",
            "telephone_number": "207-200-8814",
            "fax_number": "207-558-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 LINCOLN AVE STE 1",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042761608",
            "telephone_number": "207-200-8814",
            "fax_number": "207-558-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON THE GO TOES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-20",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-200-8814"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy M Newton, LCSW
• Natalie Bolduc Nicols
• Rhonda Foss Norton, PT
• Emily A. O'Donnell, LCSW-CC
• Deanne E Ochoa-Durrell, LCSW
• Katelyn Osgood, LMSWCC
• Heather Pear, RN
• Carly Dawn Pelletier, SLPA
• Amanda Katherine Peralta, OTR/L
• Philip J. Bretz,D.M.D.,PA.

• Primary Podiatric Medicine Podiatrist in Rumford, ME
• Providers in Rumford, ME by specialty
• Primary Podiatric Medicine Podiatrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.