FOOTLOGIC, INC. (NPI# 1447276639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447276639 |
| Entity Type | Organization |
| Organization Name | FOOTLOGIC, INC. |
| Practice Address |
107 E Walker St East Flat Rock NC 28726-2235 |
| Practice Telephone | 8286970048 |
| Practice Fax Number | 8286986882 |
| Mailing Telephone | 8286970048 |
| Mailing Fax Number | 8286986882 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-02-06 |
| Authorized Official Name | MR. BRIAN LYNN WIGGEN II (OWNER) |
| Authorized Official Telephone | 8286970048 |
| Authorized Official Credential | BOCO, CO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| Street Address |
107 E WALKER ST |
| City | EAST FLAT ROCK |
| State | NC |
| Zip Code | 28726-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770130551 | Level Four Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 107 E Walker St, East Flat Rock, NC 28726-2235 | 2019-08-26 |
| 1710221197 | Western Carolina O & P | Prosthetic/Orthotic Supplier | 107 E Walker St, East Flat Rock, NC 28726-2235 | 2012-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174827398 | Kelly Roberts Wiggen | Orthotic Fitter | 107 East Walker Street, East Flat Rock, NC 28726 | 2011-01-03 |
| 1801028378 | Michael Weston Huskey | Orthotist | 107 East Walker St., East Flat Rock, NC 28726 | 2009-08-18 |
| 1821266230 | Brian Lynn Wiggen II II | Orthotist | 107 East Walker St, East Flat Rock, NC 28726 | 2008-02-19 |
| 1013543446 | Tia Nicole Rudisill | Home Health Aide | 82 Johnnie Washington Dr, East Flat Rock, NC 28726-0280 | 2020-03-17 |
| 1740310051 | Vocational Solutions of Henderson County | Day Training, Developmentally Disabled Services | 2110 Spartanburg Hwy, East Flat Rock, NC 28726-2135 | 2007-03-06 |
| 1518331883 | Michael James Tui II | Counselor | 128 Upward Acres St, East Flat Rock, NC 28726-2234 | 2015-11-24 |
| 1871125088 | Amy Bracken, Pllc | Occupational Therapist | 212 S Hillandale Dr, East Flat Rock, NC 28726-2610 | 2020-02-05 |
| 1871873422 | Family Preservation Services of North Carolina, LLC Flat Rock Middle | Community/Behavioral Health | 191 Preston Ln, East Flat Rock, NC 28726-2865 | 2011-08-26 |
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648817 | Shanae Starnes | Specialist | 11009 Okeefe Ct, Charlotte, NC 28215-5043 | 2020-10-26 |
| 1184224685 | Karmelita Stevens | Specialist | 2750 E W T Harris Blvd Ste 235, Charlotte, NC 28213-4373 | 2020-10-26 |
| 1598363715 | Arielle Williams | Specialist | 2622 Hope Mills Rd Ste 116, Fayetteville, NC 28306-8286 | 2020-10-09 |
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1295346864 | Mariel Torres | Specialist | 1657 Scarbrough Cir Sw, Concord, NC 28025-6726 | 2020-08-16 |
| 1518576578 | Sharon D Cox | Specialist | 2511 Glascock St, Raleigh, NC 27610-1713 | 2020-07-27 |
| 1184232126 | Chondra Jemise Wilson | Specialist | 1237 Tyvola Dr # B, Charlotte, NC 28210-3870 | 2020-07-15 |
| 1942828397 | Theresa Hennegan | Specialist | 9705 Northeast Pkwy Ste 102, Matthews, NC 28105-9704 | 2020-07-13 |
| 1164049532 | Denise Williams James | Specialist | 150 Falls St, Lawndale, NC 28090-9582 | 2020-07-01 |
| 1619505138 | Bjutiful Soul Health | Specialist | 144 Battley Dairy Rd, Hamlet, NC 28345-7253 | 2020-03-30 |
| Find all providers with the same taxonomy | ||||
| City | EAST FLAT ROCK |
| Zip Code | 28726 |
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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.