Board Certified Footcare,LLC
Organization Active NPI Podiatrist · Foxborough, MA
NPI 1356136154 · NPPES record last updated Apr 27, 2025
Key facts
- NPI
- 1356136154
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- Legal business name
- BOARD CERTIFIED FOOTCARE,LLC
- Practice address
- 40 Mechanic St
Foxborough, MA 02035-2074 - Phone
- (508) 226-8070
- NPI assigned
- Apr 11, 2025
- Organization subpart
- No
Authorized official
- Name
- Omid Ebrahimi-Sohi
- Title
- Manager
- Phone
- (214) 383-8360
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 1
Practitioners 1
-
Paula F. Angelini, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250530000447 | MA | DME Supplier - Physician - Podiatry | 8325473135 | Practice locations: Foxborough, MA |
National Provider Directory
- Tax ID family
- Board Certified Footcare LL
Locations
40 Mechanic St
Foxborough, MA 02035
Phone (508) 226-8070
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | Yes |
Addresses
Primary practice location
40 Mechanic St
Foxborough, MA 02035-2074
Mailing address
40 Mechanic St
Foxborough, MA 02035-2074
Other providers in Foxborough, MA
- Eza Barros
- Meghan Julia Beargeon
- Lindsay Jane Beise
- Han Bertrand
- BL Healthcare, Inc.
- Jessica Brens
- Brigham & Womens Physicians Organization Inc
- Brigham and Women'S Health Care Center
- Danielle L Brook
- Kristian Bryant
All providers in Foxborough, MA · Podiatrist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.