Active NPI
On the Move Podiatry LLC
- Foot & Ankle Surgery Podiatrist
- Phoenix, AZ
National Provider Identifier
1285218750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- ON THE MOVE PODIATRY LLC
- Practice address
- 19636 N 27TH Ave Ste 207
Phoenix, AZ 85027-4015 - Phone
- (602) 993-2700
- NPI assigned
- May 10, 2021
- Last updated
- Feb 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shelly Ferrulli
- Title
- Office Manager
- Phone
- (602) 993-2700
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | NU | ||
| Podiatric Clinic/Center | 261QP1100X | NU | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NU | Primary |
Addresses
Primary practice location
19636 N 27TH Ave Ste 207
Phoenix, AZ 85027-4015
Mailing address
19636 N 27TH Ave Ste 301
Phoenix, AZ 85027-4016
Phone (602) 993-2700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | onthemovepodiatry@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
19636 N 27th Ave
Ste 301
Phoenix, AZ 85027
Phone (602) 200-9339
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Foot & Ankle Surgery Podiatrist
- Phoenix, AZ
- NPI 1114581188
-
- Foot & Ankle Surgery Podiatrist
- Gilbert, AZ
- NPI 1437649084
Primary Podiatric Medicine
-
- Family Medicine Physician
- Buckeye, AZ
- NPI 1689301293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644969600000",
"number": "1285218750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19636 N 27TH AVE STE 301",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274016",
"telephone_number": "602-993-2700",
"fax_number": "602-993-2705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19636 N 27TH AVE STE 207",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274015",
"telephone_number": "602-993-2700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ON THE MOVE PODIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-10",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"status": "A",
"authorized_official_last_name": "FERRULLI",
"authorized_official_first_name": "SHELLY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "602-993-2700"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "onthemovepodiatry@gmail.com",
"affiliation": "N",
"address_1": "19636 N 27th Ave Ste 301",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850274016",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.