Organization Active NPI

Foot Solutions of Fort Worth, Inc.

  • Prosthetic/Orthotic Supplier
  • Fort Worth, TX
National Provider Identifier
1639440126
Registry record updated Jan 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
FOOT SOLUTIONS OF FORT WORTH, INC.
Practice address
4825 Overton Ridge Blvd
Suite 316
Fort Worth, TX 76132-1423
Phone
(817) 423-3668
Fax
(817) 423-3671
NPI assigned
Jan 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2012

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

Authorized official

Name
Marie-Jose V Smith
Title
President
Phone
(817) 423-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

4825 Overton Ridge Blvd
Suite 316
Fort Worth, TX 76132-1423

Mailing address

4825 Overton Ridge Blvd
Suite 316
Fort Worth, TX 76132-1423
Phone (817) 423-3668

National Provider Directory

National Provider Directory

Locations

4825 Overton Ridge Blvd
Ste 316
Fort Worth, TX 76132
Phone (682) 301-4369

NPI Registry JSON

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1639440126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 OVERTON RIDGE BLVD",
            "address_2": "SUITE 316",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321423",
            "telephone_number": "817-423-3668",
            "fax_number": "817-423-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 OVERTON RIDGE BLVD",
            "address_2": "SUITE 316",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321423",
            "telephone_number": "817-423-3668",
            "fax_number": "817-423-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT SOLUTIONS OF FORT WORTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARIE-JOSE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-423-3668"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.