Active NPI
Board Certified Footcare,LLC
- Podiatrist
- Foxborough, MA
National Provider Identifier
1356136154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- 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
- Last updated
- Apr 27, 2025
- 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
- Omid Ebrahimi-Sohi
- Title
- Manager
- Phone
- (214) 383-8360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
40 Mechanic St
Foxborough, MA 02035-2074
Mailing address
40 Mechanic St
Foxborough, MA 02035-2074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250530000447 | MA | DME Supplier - Physician - Podiatry | 8325473135 | Practice locations: Foxborough, MA |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Paula Angelini, DPM
- Podiatrist
- Southborough, MA
- NPI 1467096701
8325473135
National Provider Directory
National Provider Directory- Tax ID family
- Board Certified Footcare LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Podiatrist
- Lincoln, MA
- NPI 1326068396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745712000000",
"number": "1356136154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 MECHANIC ST",
"city": "FOXBOROUGH",
"state": "MA",
"postal_code": "020352074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 MECHANIC ST",
"city": "FOXBOROUGH",
"state": "MA",
"postal_code": "020352074",
"telephone_number": "508-226-8070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOARD CERTIFIED FOOTCARE,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-11",
"last_updated": "2025-04-27",
"certification_date": "2025-04-27",
"status": "A",
"authorized_official_last_name": "EBRAHIMI-SOHI",
"authorized_official_first_name": "OMID",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "214-383-8360"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Foxborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2025; 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.