Organization Active NPI

Footway

  • Customized Equipment (DME)
  • Greenacres, FL
National Provider Identifier
1760400162
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
PED37 Issued in FL
Legal business name
FOOTWAY
Doing business as
PETER'S SHOES
Practice address
6131C Lake Worth Rd
Greenacres, FL 33463-3074
Phone
(561) 964-8627
Fax
(561) 964-1091
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Mr. Peter P. Arena Jr., NONENPI 1316042682
Title
President
Phone
(561) 964-8627

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
Customized Equipment (DME) 332BC3200X PED37 FL Primary

Addresses

Primary practice location

6131C Lake Worth Rd
Greenacres, FL 33463-3074

Mailing address

6131C Lake Worth Rd
Greenacres, FL 33463-3074
Phone (561) 964-8627

Other names 1

  • PETER'S SHOES Doing business as

National Provider Directory

National Provider Directory

Locations

6131 Lake Worth Rd
Ste C
Greenacres, FL 33463
Phone (561) 964-8627

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1760400162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131C LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633074",
            "telephone_number": "561-964-8627",
            "fax_number": "561-964-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131C LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633074",
            "telephone_number": "561-964-8627",
            "fax_number": "561-964-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "ARENA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-964-8627",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "NONE"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "PED37",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PETER'S SHOES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.