Phelps, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PHELPS, INC

Doing business as

Phelps Shoes & Repair

Practice address

2255 N Main St
Ste 103
Longmont, CO 80501-1488

Phone

(303) 776-9762

Fax

(303) 776-4152

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Brad Phelps, C.PED.

Title

President

Phone

(303) 776-9762

Specialties & licenses 1

Addresses

Other names 1

• Phelps Shoes & Repair Doing business as

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891831319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 N MAIN ST",
            "address_2": "STE 103",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011488",
            "telephone_number": "303-776-9762",
            "fax_number": "303-776-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 N MAIN ST",
            "address_2": "STE 103",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011488",
            "telephone_number": "303-776-9762",
            "fax_number": "303-776-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHELPS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-776-9762",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.PED."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phelps Shoes & Repair",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• PH Balance Advocates
• PH Balance Behavioral
• PH Balance Practitioners
• PH Balance Therapeutics
• Cara Noelle Phelps, LMT
• Diana Phillips, RN
• Jessica Lynn Hadwin Phillips, M.D.
• Shawna Phillips, FNP
• Michelle Phung, LCSW
• Phyhealth Sleep Care Corporation

• Durable Medical Equipment & Medical Supplies in Longmont, CO
• Providers in Longmont, CO by specialty
• Durable Medical Equipment & Medical Supplies in Colorado

• 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.

Verify at the official NPI Registry.