Gregory C Federico, ORTHOTIC FITTER

Primary specialty

Orthotic FitterTaxonomy code 225000000X

License

C17052 Issued in NC

Practice address

580 New Waverly PL
Suite 140
Cary, NC 27511-7406

Phone

(919) 233-2060

Fax

(919) 233-2959

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1629199906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 NEW WAVERLY PL",
            "address_2": "SUITE 140",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275117406",
            "telephone_number": "919-233-2060",
            "fax_number": "919-233-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 NEW WAVERLY PL",
            "address_2": "SUITE 140",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275117406",
            "telephone_number": "919-233-2060",
            "fax_number": "919-233-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERICO",
        "first_name": "GREGORY",
        "middle_name": "C",
        "credential": "ORTHOTIC FITTER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "C17052",
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NC",
            "license": "C17052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthotic Fitter in Cary, NC
• Providers in Cary, NC by specialty
• Orthotic Fitter in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.