Active NPI
Final Kick Ankle and Foot Clinic LLC
- Foot Surgery Podiatrist
- Moab, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- Legal business name
- FINAL KICK ANKLE AND FOOT CLINIC LLC
- Practice address
- 476 Williams Way Ste B
Moab, UT 84532-2186 - Phone
- (435) 719-5550
- NPI assigned
- Jan 11, 2018
- Last updated
- Jan 11, 2018
- Organization subpart
- Yes
- Parent organization
- FINAL KICK ANKLE AND FOOT CLINIC LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Selina Sekulic, DPM
- Title
- Owner
- Phone
- (804) 687-5191
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | Primary |
Addresses
Primary practice location
476 Williams Way Ste B
Moab, UT 84532-2186
Mailing address
348 E 4500 S Ste 370
Salt Lake City, UT 84107-3906
Phone (385) 770-7203
National Provider Directory
National Provider Directory- Part of
- Final Kick Ankle and Foot
Locations
348 E 4500 S
Ste 370
Salt Lake Cty, UT 84107
Phone (385) 770-7203
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Foot & Ankle Surgery Podiatrist
- Salt Lake City, UT
- NPI 1154860823
Practitioners & affiliated clinicians
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.
-
- Foot & Ankle Surgery Podiatrist
- Salt Lake City, UT
- NPI 1891082830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515628800000",
"number": "1730697897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 E 4500 S STE 370",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841073906",
"telephone_number": "385-770-7203",
"fax_number": "385-770-7202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "476 WILLIAMS WAY STE B",
"city": "MOAB",
"state": "UT",
"postal_code": "845322186",
"telephone_number": "435-719-5550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FINAL KICK ANKLE AND FOOT CLINIC LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FINAL KICK ANKLE AND FOOT CLINIC LLC",
"enumeration_date": "2018-01-11",
"last_updated": "2018-01-11",
"status": "A",
"authorized_official_last_name": "SEKULIC",
"authorized_official_first_name": "SELINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "804-687-5191",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moab, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.