Academy Foot & Ankle Specialists, P.a.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1364 Issued in TX

Legal business name

ACADEMY FOOT & ANKLE SPECIALISTS, P.A.

Doing business as

Academy Foot & Ankle Specialists

Practice address

1940 Highway 114
Ste 150
Southlake, TX 76092-6526

Phone

(817) 424-3668

Fax

(817) 442-8637

NPI assigned

Jul 19, 2007

Last updated

May 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

Christina L Nunez

Title

Administrator

Phone

(817) 424-3668

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Academy Foot & Ankle Specialists Doing business as

Locations

Practitioners 4

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.

• Scott Benjamin Floyd, D.P.M.

  • Podiatrist
  • Southlake, TX
  • NPI 1508249558

  Single Specialty

  NPD
• Dorian Louis Jimenez, D.P.M.

  • Podiatrist
  • Southlake, TX
  • NPI 1952397119
  NPD
• Paul Thomas Marciano, DPM

  • Podiatrist
  • Southlake, TX
  • NPI 1558321810
  NPD
• Larissa Rolim, DPM, MS

  • Foot & Ankle Surgery Podiatrist
  • Irving, TX
  • NPI 1144678517
  NPD

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1356541346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 E STATE HWY 114",
            "address_2": "SUITE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926526",
            "telephone_number": "817-424-3668",
            "fax_number": "817-442-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 HIGHWAY 114",
            "address_2": "STE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926526",
            "telephone_number": "817-424-3668",
            "fax_number": "817-442-8637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7226 Crawford Rd",
            "address_purpose": "LOCATION",
            "city": "Argyle",
            "state": "TX",
            "postal_code": "762262674",
            "country_code": "US",
            "telephone_number": "817-424-3668",
            "fax_number": "817-442-8637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5810 Long Prairie Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750282588",
            "country_code": "US",
            "telephone_number": "817-424-3668",
            "fax_number": "817-442-8637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4444 Heritage Trace Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762448944",
            "country_code": "US",
            "telephone_number": "817-424-3668",
            "fax_number": "817-442-8637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1940 E State Hwy 114",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760926526",
            "country_code": "US",
            "telephone_number": "817-424-3668",
            "fax_number": "817-442-8637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6501 Precinct Line Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761824313",
            "country_code": "US",
            "telephone_number": "817-424-3668",
            "fax_number": "817-442-8637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACADEMY FOOT & ANKLE SPECIALISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-424-3668"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. MARCIANO'S UPIN",
            "identifier": "U66467",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1356541346",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Academy Foot & Ankle Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Academy Foot & Ankle Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aboudib Advanced Pain Center
• Jesstin Abraham, PT, DPT
• Manoj Abraham, O.D.
• Melissa Breanne Abraham, DPT
• Lauren Abramson, MSN, APRN, PMHNP-BC
• Active Life Foot and Ankle of Texas
• Theresa J Adame-Brooks, PT
• Lauren Grace Adams
• Sarah Adeniran, LPC
• Katherine Aderton

• Podiatrist in Southlake, TX
• Providers in Southlake, TX by specialty
• Podiatrist in Texas

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