Active NPI
Therapeutic Footwear, Inc
- Durable Medical Equipment & Medical Supplies
- Lakewood, WA
National Provider Identifier
1891815072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- THERAPEUTIC FOOTWEAR, INC
- Practice address
- 7501 Custer Rd W
Lakewood, WA 98499-8138 - Phone
- (253) 473-4311
- Fax
- (253) 473-4408
- NPI assigned
- Mar 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ralph L Kendall, C-PED
- Title
- Owner
- Phone
- (253) 473-4311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | WA | Primary |
Addresses
Primary practice location
7501 Custer Rd W
Lakewood, WA 98499-8138
Mailing address
7501 Custer Rd W
Lakewood, WA 98499-8138
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9037326 | Medicaid | WA | |
| 9058579 | Medicaid | WA | |
| 095381 | Other | WA | COPES SUPPLIER # |
| 8383531 | Medicaid | WA | |
| 49251 | Other | WA | L & I SUPPLIER # |
National Provider Directory
National Provider DirectoryLocations
7501 Custer Rd W
Lakewood, WA 98499
Phone (253) 473-4311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891815072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7501 CUSTER RD W",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984998138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 CUSTER RD W",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984998138",
"telephone_number": "253-473-4311",
"fax_number": "253-473-4408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPEUTIC FOOTWEAR, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KENDALL",
"authorized_official_first_name": "RALPH",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-473-4311",
"authorized_official_credential": "C-PED"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9037326",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9058579",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COPES SUPPLIER #",
"identifier": "095381",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8383531",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I SUPPLIER #",
"identifier": "49251",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.