Fit Feet for Life, Inc.

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

FIT FEET FOR LIFE, INC.

Practice address

4040 Upper Creek Dr Ste 106
Sun City Center, FL 33573-6844

Phone

(727) 824-5100

Fax

(727) 824-5132

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ron Sanchez

Title

Administrator

Phone

(727) 460-9468

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13000/brand/1/csg/1/fhir/r4

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Gerard Cook, D.P.M.

  • Foot Surgery Podiatrist
  • Sun City Center, FL
  • NPI 1174711204
  Medicare reassignment NPD
• Bonnie Z Sanchez, DPM

  • Podiatrist
  • Sun City Center, FL
  • NPI 1699874180
  Medicare reassignment NPD
• Barry C Blass, DPM

  • Foot Surgery Podiatrist
  • Tampa, FL
  • NPI 1194858225
  NPD (past)
• Lena A Georges, DPM

  • Podiatrist
  • Tampa, FL
  • NPI 1073532198
  NPD (past)
• Hans Blaakman, DPM

  • Foot Surgery Podiatrist
  • Spartanburg, SC
  • NPI 1912950056
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1376642876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 UPPER CREEK DR STE 106",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736844",
            "telephone_number": "727-824-5100",
            "fax_number": "727-824-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 UPPER CREEK DR STE 106",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736844",
            "telephone_number": "727-824-5100",
            "fax_number": "727-824-5132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2112 4th St N",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337044312",
            "country_code": "US",
            "telephone_number": "727-824-5100",
            "fax_number": "727-824-5132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7926 W Hillsborough Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336154600",
            "country_code": "US",
            "telephone_number": "727-824-5100",
            "fax_number": "727-824-5132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIT FEET FOR LIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-460-9468",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC9920",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Tucker Farrell, DMD
• Sherrie Faust, PTA
• Fern Psychotherapy & Clinical Training PLLC
• Francine Siegel Fern, LCSW
• Madeline Elena Fezzie, OTR/L
• William Brian Flannery, OT
• Dean Kenneth Flores, DPT
• Renee Floresta-Chan, APRN
• Florida Anesthesia Medical Services 1, PA
• Florida Cancer Specialists & Research Institute, LLC

• Podiatrist in Sun City Center, FL
• Providers in Sun City Center, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.

Verify at the official NPI Registry.