Foot Pain Relief Store LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

NOT APPLICABLE

Legal business name

FOOT PAIN RELIEF STORE LLC

Practice address

12406 Toepperwein Rd
Live Oak, TX 78233-3230

Phone

(210) 326-8889

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Holloway

Title

President/Owner

Phone

(512) 374-0818

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Foot Pain Relief Store LLC2 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.

• Foot Pain Relief Store LLC

  • Prosthetic/Orthotic Supplier
  • Austin, TX
  • NPI 1477589927
  NPD tax ID

Locations

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1376570408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12406 TOEPPERWEIN RD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333230",
            "telephone_number": "210-326-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12406 TOEPPERWEIN RD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333230",
            "telephone_number": "210-326-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT PAIN RELIEF STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "512-374-0818",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": "NOT APPLICABLE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "531408",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Emil Fischer, MD
• Azalea Iris Flores, P.T.
• Jaylynn Rose Flores
• Sabrina Foley
• Karen Fonseca, RBT
• Christi Ford, LPC ASSOCIATE
• Barbara J Forseth, MD
• Fossil Dental
• Ashtyn Rose Fournier
• David Lester Fox, MD PA

• Prosthetic/Orthotic Supplier in Live Oak, TX
• Providers in Live Oak, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.