Park Shoes, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

PED73 Issued in FL

Legal business name

PARK SHOES, INC.

Doing business as

Village Bootery

Practice address

245 S US Highway 1
Tequesta, FL 33469-2701

Phone

(772) 746-3536

Fax

(772) 744-7851

NPI assigned

Jul 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Charles Schuemann

Title

Owner/President

Phone

(561) 746-3536

Specialties & licenses 1

Addresses

Other names 1

• Village Bootery Doing business as

Locations

Practitioners 1

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

• Timothy Stanley O'Brien, PEDORTHIST

  • Specialist
  • Stuart, FL
  • NPI 1295938322
  NPD (past)

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1518157387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 S. US HIGHWAY 1",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692701",
            "telephone_number": "772-746-3536",
            "fax_number": "772-744-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S US HIGHWAY 1",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692701",
            "telephone_number": "772-746-3536",
            "fax_number": "772-744-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SHOES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "SCHUEMANN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "561-746-3536",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PED73",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Bootery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bonnie M Murphy, D.O.
• Netgroup Home Pharmacy, Inc.
• Christine Marie Obermaier, N.P.
• Vicent Rafael Ortiz, DC
• Ozark Rehab Centers Inc
• Sejal Patel, PHARMD
• Lindsey Patterson, M.D.
• Physicians Group of the Palm Beach, LLC
• Aubree Anne Pignato, RN, MS, ARNP, FNP-BC
• Laura Pigott

• Durable Medical Equipment & Medical Supplies in Tequesta, FL
• Providers in Tequesta, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.