Stans Bootery Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

STANS BOOTERY INC

Doing business as

Stans Fit For Your Feet

Practice address

17155D W Bluemound Road
Brookfield, WI 53005

Phone

(262) 821-1130

Fax

(262) 821-1889

NPI assigned

Feb 13, 2007

Last updated

Aug 22, 2020By 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. James J Sajdak, CPED

Title

President

Phone

(414) 464-1960

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stans Fit For Your Feet Doing business as

Tax ID family

Stans Bootery Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Stans Bootery Inc

  dba Stans Fit For Your Feet

  • Durable Medical Equipment & Medical Supplies
  • Glendale, WI
  • NPI 1821130022
  NPD tax ID

Locations

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336281559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001A W LOOMIS ROAD",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "53221",
            "telephone_number": "414-464-1960",
            "fax_number": "414-464-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17155D W BLUEMOUND ROAD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "53005",
            "telephone_number": "262-821-1130",
            "fax_number": "262-821-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANS BOOTERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAJDAK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-464-1960",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41625600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stans Fit For Your Feet",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phillip Stamos, C.AC
• Stacy Stanek, OTR
• Martavia Stanford, LABORATORY DIRECTOR
• Claire T Stangl, LPC, CSAC
• Margaret Stankiewicz, SLP
• Deborah Marie Staszak, COTA
• Stay Strong Therapies LLC
• Teresa Steffen, PT
• Stacy Steil-Anderson
• Stein Optical Inc (Stein Optical)

• Durable Medical Equipment & Medical Supplies in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.