Organization Active NPI

Foot Dynamics Inc

  • Specialist
  • Atlanta, GA
National Provider Identifier
1336355577
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FOOT DYNAMICS INC
Practice address
2030 Powers Ferry Rd SE Ste 540
Atlanta, GA 30339-5032
Phone
(770) 582-1122
Fax
(770) 582-1133
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Ricardo Martinez, CPED
Title
Ceo
Phone
(678) 468-7463

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X GA Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2030 Powers Ferry Rd SE Ste 540
Atlanta, GA 30339-5032

Mailing address

51 Chert Rd
Marietta, GA 30062-3629
Phone (770) 582-1122

National Provider Directory

National Provider Directory

Locations

2030 Powers Ferry Rd SE
Ste 540
Atlanta, GA 30339
Phone (770) 582-1122

51 Chert Rd
Marietta, GA 30062
Phone (770) 582-1122

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1336355577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CHERT RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623629",
            "telephone_number": "770-582-1122",
            "fax_number": "770-582-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 POWERS FERRY RD SE STE 540",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395032",
            "telephone_number": "770-582-1122",
            "fax_number": "770-582-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT DYNAMICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-468-7463",
        "authorized_official_credential": "CPED"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.