Happy Feet Therapeutic, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HAPPY FEET THERAPEUTIC, LLC

Practice address

605 E. Main St
Grand Prairie, TX 75050

Phone

(972) 262-0533

Fax

(877) 362-9841

NPI assigned

Nov 4, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Ann Leos Gonzales, CFTS

Title

Owner

Phone

(972) 262-0533

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1952602179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E. MAIN ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75050",
            "telephone_number": "972-262-0533",
            "fax_number": "877-362-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E. MAIN ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75050",
            "telephone_number": "972-262-0533",
            "fax_number": "877-362-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY FEET THERAPEUTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "LEOS GONZALES",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-262-0533",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFTS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287982702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.