The Foot Performance Center, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

NOT REQUIRED Issued in NY

Legal business name

THE FOOT PERFORMANCE CENTER, INC.

Practice address

3385 Brighton Henrietta Town Line Rd
Rochester, NY 14623-2813

Phone

(585) 473-5950

Fax

(585) 473-9596

NPI assigned

Nov 28, 2006

Last updated

Aug 19, 2013By 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. David Cardillo, C.PED.NPI 1609935527

Title

Owner

Phone

(585) 473-5950

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 5

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.

• David Charles Cardillo, C.PED.

  • Pedorthist
  • Rochester, NY
  • NPI 1609935527
  NPD (past) Authorized official
• Dan G Sherwood, CO

  • Orthotist
  • Rochester, NY
  • NPI 1417018797
  NPD
• Christopher James Costantini, C.PED.

  • Orthotist
  • Rochester, NY
  • NPI 1245306679
  NPD (past)
• Carol A Gambell, ATC, CO

  • Athletic Trainer
  • Rochester, NY
  • NPI 1427191840

  Orthotist

  NPD (past)
• Scott R Walters, CPED

  • Pedorthist
  • Rochester, NY
  • NPI 1295365120
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1316013667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 BRIGHTON HENRIETTA TOWN LINE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232813",
            "telephone_number": "585-473-5950",
            "fax_number": "585-473-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 BRIGHTON HENRIETTA TOWN LINE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232813",
            "telephone_number": "585-473-5950",
            "fax_number": "585-473-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOOT PERFORMANCE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "CARDILLO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-473-5950",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.PED."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": "NOT REQUIRED",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE PROV ID",
            "identifier": "106985GD",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02350998",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "1316013667",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Rochester, NY
• Providers in Rochester, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.