Thomas W Fantauzzo, C.PED

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

1900 Clinton Ave S
Feet First Inc.
Rochester, NY 14618-5621

Phone

(585) 442-4990

NPI assigned

Oct 8, 2010

Last updated

Sep 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Feet First Inc

  • Pedorthist
  • Rochester, NY
  • NPI 1578064853
  NPD Authorized official

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1548570591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 CAPRI DR",
            "address_2": "THOMAS FANTAUZZO",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241357",
            "telephone_number": "585-247-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CLINTON AVE S",
            "address_2": "FEET FIRST INC.",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185621",
            "telephone_number": "585-442-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANTAUZZO",
        "first_name": "THOMAS",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "C.PED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-08",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Fanelli
• Benjamin Fang
• Rachel Fanning
• Catherine Fantauzzo, LPN
• Eric Fantauzzo, CPED
• Caitlynn Fantigrossi, PNP
• Doreen Lenore Fanton, RN
• Joseph J Fantuzzo, D.D.S, M.D.
• Ahmed Farag, DDS
• Anne Marie Farage-Smith, MS MHC, MS ED.

• Prosthetic/Orthotic Supplier in Rochester, NY
• Providers in Rochester, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.