THE FOOT PERFORMANCE CENTER, INC. (NPI# 1316013667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316013667 |
| Entity Type | Organization |
| Organization Name | THE FOOT PERFORMANCE CENTER, INC. |
| Practice Address |
3385 Brighton Henrietta Town Line Rd Rochester NY 14623-2813 |
| Practice Telephone | 5854735950 |
| Practice Fax Number | 5854739596 |
| Mailing Telephone | 5854735950 |
| Mailing Fax Number | 5854739596 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2013-08-19 |
| Authorized Official Name | MR. DAVID CARDILLO (OWNER) |
| Authorized Official Telephone | 5854735950 |
| Authorized Official Credential | C.PED. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | NY | Suppliers | |
| Y | 335E00000X | Prosthetic/Orthotic Supplier | NOT REQUIRED | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02350998 | 05 | |
| NY | PREFERRED CARE PROV ID | 106985GD | 01 |
| NY | EXCELLUS | 1316013667 | 01 |
| Street Address |
3385 BRIGHTON HENRIETTA TOWN LINE RD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14623-2813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295365120 | Scott R Walters | Pedorthist | 3385 Brighton Henrietta Town Line Rd, Rochester, NY 14623-2813 | 2020-01-20 |
| 1427191840 | Carol A Gambell | Orthotist | 3385 Brighton Henrietta Town Line Rd, Rochester, NY 14623-2813 | 2007-02-15 |
| 1245306679 | Christopher James Costantini | Orthotist | 3385 Brighton Henrietta Town Line Rd, The Foot Performance Center, Rochester, NY 14623-2813 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1932649522 | Annette F. Cranker | Registered Nurse | 100 Groton Parkway, Rochester, NY 14623 | 2017-03-01 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1811371610 | Deanna Phoenix | Pharmacist | Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 | 2015-07-13 |
| 1518340801 | Erin Wong | Counselor | 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 | 2015-07-04 |
| 1427437490 | Sarah Beren | Counselor | 115 Metro Park, Rochester, NY 14623 | 2015-05-23 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
| Find all providers in zip 14623 | ||||
| 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 |
|---|---|---|---|---|
| 1467593632 | Union Orthotics & Prosthetics Co | Prosthetic/Orthotic Supplier | 832 Ohio River Blvd, Rochester, PA 15074-1414 | 2007-02-09 |
| 1558479816 | Orthomed Inc | Prosthetic/Orthotic Supplier | 185 Shoreham Dr, Rochester, NY 14618 | 2006-08-28 |
| 1083728653 | National Pedorthic Services, Inc. | Prosthetic/Orthotic Supplier | 1280 Scottsville Rd, Suite 20, Rochester, NY 14624-5147 | 2006-08-19 |
| 1043259948 | Halprin, Inc | Prosthetic/Orthotic Supplier | 2975 Brighton Henrietta Tl Rd, 220, Rochester, NY 14623-2787 | 2006-06-06 |
| 1568413656 | Southside Medical Supply, LLC | Prosthetic/Orthotic Supplier | 1900 S. Clinton Ave. Ste 320, Rochester, NY 14618-5719 | 2006-05-13 |
| 1275501546 | Shoetech | Prosthetic/Orthotic Supplier | 2854 Dewey Ave, Rochester, NY 14616-4630 | 2006-03-10 |
| 1891775698 | Sandra A Schwab & Basil Babey Ptrs | Prosthetic/Orthotic Supplier | 251 Park Ave, Rochester, NY 14607-2723 | 2006-01-18 |
| 1336145994 | Cayuga Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1583 E Main St, Rochester, NY 14609-7008 | 2005-06-28 |
| 1083240964 | Genesis II of Rochester, Inc Dba New-u | Prosthetic/Orthotic Supplier | 1425 Jefferson Rd, Rochester, NY 14623-3139 | 2020-03-23 |
| 1326455106 | Dbm,llc | Prosthetic/Orthotic Supplier | 400 S Broadway, Suite 106, Rochester, MN 55904-6445 | 2014-07-14 |
| Find all providers in ROCHESTER | ||||
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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.