Perfect Fit Footwear

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

212000132 Issued in IL

Legal business name

PERFECT FIT FOOTWEAR

Practice address

15618 S 70TH CT
Orland Park, IL 60462-5108

Phone

(708) 532-3302

Fax

(708) 532-3312

NPI assigned

Mar 17, 2008

Organization subpart

No

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

Authorized official

Name

Edgar Alexander Barrios, CPEDNPI 1386139145

Title

Owner

Phone

(312) 479-0403

Specialties & licenses 4

Addresses

Locations

Practitioners 1

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

• Edgar Alexander Barrios, PEDORTHIST

  • Pedorthist
  • Spring Valley, IL
  • NPI 1386139145
  NPD Authorized official

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1528239605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15618 S 70TH CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625108",
            "telephone_number": "708-532-3302",
            "fax_number": "708-532-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15618 S 70TH CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625108",
            "telephone_number": "708-532-3302",
            "fax_number": "708-532-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT FIT FOOTWEAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "BARRIOS",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-479-0403",
        "authorized_official_credential": "CPED"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "212000132",
            "primary": true
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "IL",
            "license": "212000132",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "212000132",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IL",
            "license": "212000132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Pedziwiatr, SPEECH-LANGUAGE PATH
• Kaylee Pellack
• Jade Alexa Pellerito, OTR/L
• Janet Pepich, PT
• Dmitriy Peresada, MD
• Performance Foot and Ankle Center LLC
• Performance Physical Therapy of Palos Park
• Michelle Perisic, DC
• Shirley Perolino, PT
• Maria Perozzi, PA

• Customized Equipment (DME) in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Customized Equipment (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.