Elliott Pedorthic Care LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ELLIOTT PEDORTHIC CARE LLC

Doing business as

Elliott Footwear & Orthotic Services

Practice address

85084 Kensington Dr
Pleasant Hill, OR 97455-9621

Phone

(541) 726-0751

NPI assigned

Jan 26, 2010

Last updated

Jan 26, 2010By 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

Mr. Brady Elliott, CPED

Title

Manager

Phone

(541) 726-0751

Specialties & licenses 1

Addresses

Other names 1

• Elliott Footwear & Orthotic Services Doing business as

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1467783761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85084 KENSINGTON DR",
            "city": "PLEASANT HILL",
            "state": "OR",
            "postal_code": "974559621",
            "telephone_number": "541-726-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85084 KENSINGTON DR",
            "city": "PLEASANT HILL",
            "state": "OR",
            "postal_code": "974559621",
            "telephone_number": "541-726-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT PEDORTHIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "BRADY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "541-726-0751",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elliott Footwear & Orthotic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• C&K Express, LLC (Pharmacy Express)
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• Linda Suzanne De Caccia, ED.M.
• Keelan Dennis
• Sarah Dressler, MS, ATC
• Mary L Fey, FNP
• Julie Ann Alcantara Galinato, M.D.
• Susan Cox Hammond, RN/FNP
• David Harries
• Kennedy Hildebrand

• Prosthetic/Orthotic Supplier in Pleasant Hill, OR
• Providers in Pleasant Hill, OR by specialty
• Prosthetic/Orthotic Supplier in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.