Foot Pain Relief Store LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

FOOT PAIN RELIEF STORE LLC

Practice address

7801 N Lamar
Suite C59
Austin, TX 78752-1028

Phone

(512) 374-0818

Fax

(512) 374-0810

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Li-Da Huang, PH.D.NPI 1972112555

Title

President/Owner

Phone

(512) 374-0818

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

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
  • Live Oak, TX
  • NPI 1376570408
  NPD tax ID

Locations

Practitioners 1

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

• Lida Huang, BOCPD

  • Pedorthist
  • Austin, TX
  • NPI 1972112555
  NPD (past) Authorized official

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1477589927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 N LAMAR",
            "address_2": "SUITE C59",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521028",
            "telephone_number": "512-374-0818",
            "fax_number": "512-374-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 N LAMAR",
            "address_2": "SUITE C59",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521028",
            "telephone_number": "512-374-0818",
            "fax_number": "512-374-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT PAIN RELIEF STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "LI-DA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "512-374-0818",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "531408",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Bradley Fontanesi
• Heather Michelle Fontenot, LSA
• Jordan Taylor Fontenot, PT, DPT
• Kimberly Jane Fontenot, RPH
• Food Is Medicine Marketplace, LLC
• Elizabeth Foot, MPH, RDN, LDN
• Fora Fertility, PLLC
• Jean-Pierre Forage, M.D.
• Julie Foran, APRN
• Ashley Forbes, LAC

• Prosthetic/Orthotic Supplier in Austin, TX
• Providers in Austin, 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 Jan 27, 2017; 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.