MR. THOMAS W FANTAUZZO (NPI# 1548570591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548570591 |
| Entity Type | Individual |
| Full Name | MR. THOMAS W FANTAUZZO |
| Credential | C.PED |
| Practice Address |
1900 Clinton Ave S Feet First Inc. Rochester NY 14618-5621 |
| Mailing Address |
46 Capri Dr Thomas Fantauzzo Rochester NY 14624-1357 |
| Practice Telephone | 5854424990 |
| Mailing Telephone | 5852477809 |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2014-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | NY | Suppliers | |
| N | 224L00000X | Pedorthist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1900 CLINTON AVE S FEET FIRST INC. |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14618-5621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962506626 | Cvs Albany LLC | Pharmacy | 1900 Clinton Ave S, Rochester, NY 14618-5621 | 2006-09-12 |
| 1053864603 | Cara Lynn Sold | Pharmacist | 1900 Clinton Ave S, Rochester, NY 14618-5621 | 2016-08-01 |
| 1043680077 | Fonte Surgical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1900 Clinton Ave S, Suite320, Rochester, NY 14618-5621 | 2015-10-02 |
| 1780079202 | Teresa Gangarossa | Registered Nurse | 1900 Clinton Ave S, Rochester, NY 14618-5621 | 2015-04-01 |
| 1174951297 | Lifespan of Greater Rochester | Case Management | 1900 Clinton Ave S, Rochester, NY 14618-5621 | 2013-10-29 |
| 1639226145 | John J. Jacobs | Durable Medical Equipment & Medical Supplies | 1900 Clinton Ave S, Rochester, NY 14618-5621 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
| 1760047278 | Inner Power Physical Therapy Pllc | Clinic/Center | 2561 Lac Deville Boulevard, Suite 100, Rochester, NY 14618 | 2019-05-09 |
| 1659859858 | Steven Sanfilippo | Counselor | 2000 S. Winton Rd., Building 4, Suite 303, Rochester, NY 14618 | 2018-07-31 |
| 1578064853 | Feet First Inc | Durable Medical Equipment & Medical Supplies | 1900 Clinton Ave S Ste 5, Rochester, NY 14618 | 2018-02-22 |
| 1558805374 | Jennifer Virella | Social Worker | 2000 South Winton Road, Bldg 2, Rochester, NY 14618 | 2016-12-13 |
| 1235589300 | Andrew Cyrus Marcy | Nurse Practitioner | 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 | 2016-06-20 |
| 1932561073 | Legacy Pediatrics | Pediatrics | 1815 South Clinton Avenue Ste 360, Rochester, NY 14618 | 2016-03-28 |
| 1790143105 | Marie Lynn Bieber | Dietitian, Registered | 919 Winton Rd S Ste 220, Rochester, NY 14618 | 2016-02-01 |
| 1720443096 | Brittany Rose Masetta | Marriage & Family Therapist | 2000 S Winton Rd, Bldg 4, Suite #200, Rochester, NY 14618 | 2015-12-30 |
| 1437543097 | Kathleen Skye Kemp | Internal Medicine | 2400 S Clinton Ave Ste G2, Rochester, NY 14618 | 2015-03-22 |
| Find all providers in zip 14618 | ||||
| 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.