Foot One Mechanix

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FOOT ONE MECHANIX

Practice address

1601 Main St
Elwood, IN 46036-2025

Phone

(317) 872-3074

Fax

(765) 557-7223

NPI assigned

Jun 7, 2010

Last updated

Feb 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Julie M Haig, C-PEDNPI 1790887750

Title

Owner

Phone

(317) 872-3074

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Foot One Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Marie Haig, C. PED

  • Prosthetic/Orthotic Supplier
  • Elwood, IN
  • NPI 1790887750
  Authorized official Same address or phone

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1649590167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MAIN ST",
            "city": "ELWOOD",
            "state": "IN",
            "postal_code": "460362025",
            "telephone_number": "317-872-3074",
            "fax_number": "765-557-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MAIN ST",
            "city": "ELWOOD",
            "state": "IN",
            "postal_code": "460362025",
            "telephone_number": "317-872-3074",
            "fax_number": "765-557-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT ONE MECHANIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "HAIG",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-872-3074",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "C-PED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200169600A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot One",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Amber Ferree
• Patricia R Fettig, NP
• Gina Fike
• Julie F Foltz, BA
• Foot One Inc
• Jordyn Leigh Fralick, RBT
• Rachel R Gaddis, PTA
• Danielle Nicole Gallegos, RN
• Steisha Gary
• Steven Gatewood, MD

• Durable Medical Equipment & Medical Supplies in Elwood, IN
• Providers in Elwood, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.