FOOTWORKS INC. (NPI# 1073716304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073716304 |
Entity Type | Organization |
Organization Name | FOOTWORKS INC. |
Practice Address |
1152 W 103rd St Kansas City MO 64114-4511 |
Practice Telephone | 8169423668 |
Practice Fax Number | 8169429402 |
Mailing Telephone | 8169423668 |
Mailing Fax Number | 8169429402 |
Enumeration Date | 2007-06-06 |
Last Update Date | 2010-06-21 |
Authorized Official Name | MR. JEFF R DUBINSKY (PRESIDENT) |
Authorized Official Telephone | 8169423668 |
Authorized Official Credential | CERTIFIED PEDORT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | BLUE CROSS BLUE SHIELD MO | 23916010 | 01 |
KS | BLUE CROSS BLUE SHIELD KS | 707960 | 01 |
Street Address |
1152 W 103RD ST |
City | KANSAS CITY |
State | MO |
Zip Code | 64114-4511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
Find all providers in zip 64114 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477100717 | Desirae Clark | Prosthetic/Orthotic Supplier | 5100 Lydia Ave, Kansas City, MO 64110-2608 | 2019-08-21 |
1215400312 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 4801 Main St Ste 220, Kansas City, MO 64112-2929 | 2019-01-10 |
1952760860 | Vernice Lynn Johnson | Prosthetic/Orthotic Supplier | 4027 E 45th St, 1658 E. 63rd Street, Kansas City, MO 64131-2125 | 2016-02-19 |
1043315641 | Restored Images Inc | Prosthetic/Orthotic Supplier | 4116 Ne Vivion Rd, Kansas City, MO 64119-2811 | 2006-09-14 |
1295735090 | Highland Nursing and Rehabilitation Center, LLC | Prosthetic/Orthotic Supplier | 904 E 68th St, Kansas City, MO 64131-1305 | 2005-07-22 |
1386105948 | Capitol Orthopedic Inc | Prosthetic/Orthotic Supplier | 4001 Blue Pkwy Ste 98, Kansas City, MO 64130-2315 | 2019-03-27 |
1700896958 | Saint Luke's Hospital of Kansas City | Prosthetic/Orthotic Supplier | 4321 Washington St, Suite 4000, Kansas City, MO 64111-5961 | 2006-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497355689 | Hair On The Edge | Prosthetic/Orthotic Supplier | 9708 Lackland Rd, Overland, MO 63114-3414 | 2020-10-28 |
1427656727 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 755 S New Ballas Rd Ste 140, Saint Louis, MO 63141-8713 | 2020-10-09 |
1437783776 | Mager & Gougelman of St. Louis, LLC | Prosthetic/Orthotic Supplier | 1034 S Brentwood Blvd Ste 1880, Richmond Heights, MO 63117-1218 | 2020-02-25 |
1962042440 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 9665 Page Avenue, Overland, MO 63132 | 2020-01-13 |
1407496201 | Ortheco LLC | Prosthetic/Orthotic Supplier | 2907 Independence St Ste D, Cape Girardeau, MO 63703-5027 | 2020-01-09 |
1720540313 | Axes Physical Therapy, LLC | Prosthetic/Orthotic Supplier | 754 Luetkenhaus Blvd, Wentzville, MO 63385-3515 | 2019-04-02 |
1093272460 | Axes Physical Therapy I, LLC | Prosthetic/Orthotic Supplier | 2018 Phoenix Center Dr, Washington, MO 63090-5544 | 2019-02-21 |
1649778382 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 50 Crestwood Executive Ctr Ste 315, Saint Louis, MO 63126-1900 | 2018-01-29 |
1356858971 | Monique Renee Wigs and Etc | Prosthetic/Orthotic Supplier | 12123 Blue Ridge Ext Ste C, Grandview, MO 64030-1194 | 2018-01-04 |
1841732716 | Ann's Lingerie and Mastectomy Center | Prosthetic/Orthotic Supplier | 623 S Silver Springs Rd, Cape Girardeau, MO 63703-7500 | 2016-11-09 |
Find all providers with the same taxonomy |
City | KANSAS CITY |
Zip Code | 64114 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.