PERFORMANCE FOOTCARE


Address: 2024 Randolph Rd, Charlotte, NC 28207-1216
Phone: 7049457790

PERFORMANCE FOOTCARE (NPI# 1407350507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407350507
Entity Type Organization
Organization Name PERFORMANCE FOOTCARE
Other Organization Name PERFORMANCE ORTHOTICS
Practice Address 2024 Randolph Rd
Charlotte
NC 28207-1216
Practice Telephone 7049457790
Practice Fax Number 9802074812
Mailing Telephone 7049457790
Mailing Fax Number 9802074812
Enumeration Date 2018-03-22
Last Update Date 2018-03-22
Authorized Official Name MS. GRACE TURNER (CLINIC DIRECTOR)
Authorized Official Telephone 7049457790
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Z00000X Orthotist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider/Organization Names

Other Name Type Code
Performance Orthotics Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
North Carolina Corporations Performance Footcare LLC 2024 Randolph Rd, Charlotte, NC 28207-1216
New York State Corporations PERFORMANCE FOOTCARE OF NEW YORK, P.C. 75 N Central Avenue, Elmsford, Ny 10523

Office Location

Street Address 2024 RANDOLPH RD
City CHARLOTTE
State NC
Zip Code 28207-1216

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NPI Name Taxonomy Address Enumeration
1013560739 Louis Roncaglione Dentist 8815 Christenbury Pkway, Concord, NC 28207 2019-07-22
1619430014 Khrystyna Levytska Student in an Organized Health Care Education/Training Program Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 2019-04-11
1649743584 Carolinas Hometown Respiratory LLC Durable Medical Equipment & Medical Supplies 1005 South Kings Drive, Charlotte, NC 28207 2019-01-03
1023584489 Herron and Smith Associates, Pllc Dentist 135 Perrin Place, Suite 100, Charlotte, NC 28207 2018-10-23
1588161640 Lauren Mogk Student in an Organized Health Care Education/Training Program Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 2018-04-06
1518462241 Sarah Hollyn Carlock Student in an Organized Health Care Education/Training Program Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 2018-03-26
1083118178 Claire Milam Student in an Organized Health Care Education/Training Program Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 2018-03-22
1811422256 Complete Care At Dartmouth LLC Skilled Nursing Facility 300 Province Road, Charlotte, NC 28207 2017-04-24
1063945467 Kaitlyn O'keefe Internal Medicine 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 2017-04-04
1811432024 Advanced Prosthetics of Easley, Inc Durable Medical Equipment & Medical Supplies 2310 Randolph Rd Ste A, Charlotte, NC 28207 2016-12-23
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Taxonomy Information

Taxonomy Code 222Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Orthotist

Taxonomy Definition

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437660834 Christos George Lemonis Orthotist 10420 Park Rd Ste 100a, Charlotte, NC 28210-8501 2017-10-12
1821528373 Brett Rosen Orthotist 309 S Sharon Amity Rd Ste 104, Charlotte, NC 28211-2886 2017-06-18
1518407402 Kayla Damore Orthotist 1901 Brunswick Ave Ste 240, Charlotte, NC 28207-2807 2017-02-27
1851701544 Megan Marie Olivo Orthotist 1228 E Morehead St, Suite 100, Charlotte, NC 28204-2889 2014-05-02
1558797811 Tyler Dunham Orthotist 309 S. Sharon Amity Road, Suite 104, Charlotte, NC 28211-2886 2013-09-18
1891032587 Alex Richard Ford Orthotist 220 Westinghouse Blvd Ste 405, Charlotte, NC 28273-4260 2013-01-15
1992331730 Andrew Carl Maurer Orthotist 2219 E 7th St, Charlotte, NC 28204-3339 2020-03-12
1366911828 Colleen Cassidy Kerger Orthotist 2219 E 7th St, Charlotte, NC 28204-3339 2018-11-14
1710473251 Mark Gingrich Orthotist 2219 E 7th St, Charlotte, NC 28204-3339 2018-07-09
1245749969 Cody A Smith Orthotist 309 S Sharon Amity Rd Ste 104, Charlotte, NC 28211-2886 2017-09-26
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 28207

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Dataset Information

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.

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