Organization Active NPI

On2Feet, L.L.C.

  • Podiatrist
  • Lake Mary, FL
National Provider Identifier
1750725164
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3428 Issued in FL
Legal business name
ON2FEET, L.L.C.
Practice address
1319 S International Pkwy
Suite 1161
Lake Mary, FL 32746-1408
Phone
(407) 391-3344
NPI assigned
Apr 29, 2013
Last updated
May 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Authorized official

Name
Jefferson J Mennuti, D.P.M.NPI 1992944342
Title
MGR
Phone
(407) 391-3344

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)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3428 FL Primary

Addresses

Primary practice location

1319 S International Pkwy
Suite 1161
Lake Mary, FL 32746-1408

Mailing address

PO Box 470118
Lake Monroe, FL 32747-0118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130809000665 FL Part B Supplier - Clinic/Group Practice 7517109184 Receives reassigned benefits from 1 practitioner
Practice locations: Orange City, FL

National Provider Directory

National Provider Directory

Locations

1319 S International Pkwy
Ste 1161
Lake Mary, FL 32746
Phone (407) 391-3344

2541 S Volusia Ave
#300
Orange City, FL 32763
Phone (407) 391-3344

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1750725164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470118",
            "city": "LAKE MONROE",
            "state": "FL",
            "postal_code": "327470118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 S INTERNATIONAL PKWY",
            "address_2": "SUITE 1161",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461408",
            "telephone_number": "407-391-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON2FEET, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "MENNUTI",
        "authorized_official_first_name": "JEFFERSON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "407-391-3344",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.