FOOTHEALS PROSTHETICS AND ORTHOTICS, INC. – NPI #1124101373
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.

FOOTHEALS PROSTHETICS AND ORTHOTICS, INC. is a DME Supplier located in JOHNSON CITY, TN. NPPES has assigned the NPI number 1124101373 to FOOTHEALS PROSTHETICS AND ORTHOTICS, INC. on October 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.

The NPI profile was previously updated about 18 years ago on Apr 08, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FOOTHEALS PROSTHETICS AND ORTHOTICS, INC. below.

NPI Profile for
FOOTHEALS PROSTHETICS AND ORTHOTICS, INC.

NPI Number
1124101373
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FOOTHEALS PROSTHETICS AND ORTHOTICS, INC.
Primary location
2406 SUSANNAH ST
LOWER LEVEL
JOHNSON CITY, TN 37601-1725
Phone: (423) 975-5462 Fax: (423) 975-5463
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CALVIN HOYLE
PROTHETIST, ORTHOTIST,, PEDORTHIST
Phone: (423) 975-5462
Updated
Identifiers

Identifiers for FOOTHEALS PROSTHETICS AND ORTHOTICS, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS OF TNTN4145147
MEDICAIDTN1455141
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
335E00000X
- Prosthetic/Orthotic Supplier (Primary)
TN

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.