Heart to Sole, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HEART TO SOLE, INC

Practice address

5200 N Illinois St
Suite 103
Fairview Heights, IL 62208-3454

Phone

(618) 234-3338

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Stephanie S Massie, LICENSED PEDORTHIST

Title

Manager/Biller

Phone

(618) 234-3338

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568419059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 N ILLINOIS ST",
            "address_2": "SUITE 103",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622083454",
            "telephone_number": "618-234-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 N ILLINOIS ST",
            "address_2": "SUITE 103",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622083454",
            "telephone_number": "618-234-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART TO SOLE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASSIE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER/BILLER",
        "authorized_official_telephone_number": "618-234-3338",
        "authorized_official_credential": "LICENSED PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.