NPIMap

Organization Active NPI

Foothills Shoes LLC

  • Prosthetic/Orthotic Supplier
  • Yuma, AZ
National Provider Identifier
1245497833
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
FOOTHILLS SHOES LLC
Practice address
11274 S Fortuna Rd Ste C3
Yuma, AZ 85367-7861
Phone
(928) 345-1907
Fax
(928) 345-1907
NPI assigned
May 21, 2008
Last updated
Aug 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Catherine Putman
Title
Owner
Phone
(928) 345-1907

Specialties & licenses 1

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

Addresses

Primary practice location

11274 S Fortuna Rd Ste C3
Yuma, AZ 85367-7861

Mailing address

11274 S Fortuna Rd Ste C3
Yuma, AZ 85367-7861
Phone (928) 345-1907

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1245497833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11274 S FORTUNA RD STE C3",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853677861",
            "telephone_number": "928-345-1907",
            "fax_number": "928-345-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11274 S FORTUNA RD STE C3",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853677861",
            "telephone_number": "928-345-1907",
            "fax_number": "928-345-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS SHOES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "PUTMAN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-345-1907"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.