Foothills Prosthetics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

FOOTHILLS PROSTHETICS LLC

Practice address

1603 S Sterling St
Morganton, NC 28655-4097

Phone

(828) 391-5164

Fax

(828) 391-5011

NPI assigned

May 15, 2007

Last updated

Apr 26, 2022By 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

Kevin A Wicker, CPONPI 1457567752

Title

President

Phone

(828) 391-5164

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Next Step Prosthetics LLC

  • Prosthetic/Orthotic Supplier
  • Charlotte, NC
  • NPI 1083189211

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin A Wicker, CPO

  • Prosthetist
  • Morganton, NC
  • NPI 1457567752

  Orthotist

  NPD (past) Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1477769784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 S STERLING ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554097",
            "telephone_number": "828-391-5164",
            "fax_number": "828-391-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 S STERLING ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554097",
            "telephone_number": "828-391-5164",
            "fax_number": "828-391-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "WICKER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-391-5164",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704693",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Foothills Area Program
• Foothills Family Dermatology
• Foothills Mental Health
• Foothills Mental Health Detox
• Foothills Pediatric Therapy, PLLC
• Richard Luke Ford
• Sharon Poole Foreman, DDS
• Daliyha Foster
• Debra Estelle Fox Helser, MACCC SLP
• Christen Ray Fox, LCMHC, LCAS

• Prosthetic/Orthotic Supplier in Morganton, NC
• Providers in Morganton, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.