Organization Active NPI

When the Shoe Fits, LLC

  • Durable Medical Equipment & Medical Supplies
  • Vancouver, WA
National Provider Identifier
1386722577
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
9659 (BCP #) Issued in WA
Legal business name
WHEN THE SHOE FITS, LLC
Practice address
819 SE 160TH Ave Ste 100
Vancouver, WA 98683-9668
Phone
(360) 882-8962
Fax
(360) 882-8172
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alan O'Hara, C.PED
Title
President
Phone
(360) 882-8962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 9659 (BCP #) WA Primary

Addresses

Primary practice location

819 SE 160TH Ave Ste 100
Vancouver, WA 98683-9668

Mailing address

819 SE 160TH Ave Ste 100
Vancouver, WA 98683-9668
Phone (360) 882-8962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930069099 WA DME Supplier - Orthotic PersonnelDME Supplier - Pedorthic PersonnelDME Supplier - Medical Supply Company With Pedorthic Personnel 7517177322 Practice locations: Vancouver, WA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
When the Shoe Fits, LLC819 SE 160TH Ave, Vancouver, WA 98683-9668(360) 882-8962 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Dec 8, 2004

National Provider Directory

National Provider Directory
Tax ID family
When the Shoe Fits 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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386722577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 SE 160TH AVE STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839668",
            "telephone_number": "360-882-8962",
            "fax_number": "360-882-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 SE 160TH AVE STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839668",
            "telephone_number": "360-882-8962",
            "fax_number": "360-882-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEN THE SHOE FITS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'HARA",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-882-8962",
        "authorized_official_credential": "C.PED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "9659 (BCP #)",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.