THERAPEUTIC SHOES INC (NPI# 1205874914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205874914 |
| Entity Type | Organization |
| Organization Name | THERAPEUTIC SHOES INC |
| Practice Address |
718 Beulahs Lane Idaho Falls ID 83401 |
| Practice Telephone | 2085241995 |
| Practice Fax Number | 2085241995 |
| Mailing Telephone | 2085241995 |
| Mailing Fax Number | 2085241995 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2008-08-11 |
| Authorized Official Name | DR. CHARLES CALL III (PRESIDENT) |
| Authorized Official Telephone | 2085241995 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | P085 | ID | Podiatric Medicine & Surgery Service Providers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 82505 | 01 | |
| ID | 1350425 | 05 | |
| BC | P0854 | 01 |
| Street Address |
718 BEULAHS LANE |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558887927 | Foothill Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 6230 S Heritage Ln Ste 5, Idaho Falls, ID 83402-5803 | 2017-08-17 |
| 1730558255 | Excellence In Medicine Inc | Durable Medical Equipment & Medical Supplies | 2960 Cortez Ave, Idaho Falls, ID 83404-7554 | 2015-09-15 |
| 1255779757 | Dvt Solutions LLC | Durable Medical Equipment & Medical Supplies | 1005 Ada Ave, Idaho Falls, ID 83402-2121 | 2013-06-06 |
| 1073956306 | Pt Medical LLC | Durable Medical Equipment & Medical Supplies | 490 Memorial Dr, Idaho Falls, ID 83402-3656 | 2013-04-17 |
| 1447580428 | Full of Life 5580 | Durable Medical Equipment & Medical Supplies | 697 E 1600 N, Idaho Falls, ID 83402-5752 | 2010-01-13 |
| 1093996399 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1604 W Broadway St, Idaho Falls, ID 83402-3048 | 2007-11-15 |
| 1386831964 | Idaho Home Health & Hospice, Inc. | Durable Medical Equipment & Medical Supplies | 1910 Channing Way, Idaho Falls, ID 83404-8030 | 2007-09-27 |
| 1376743344 | Nicks Service | Durable Medical Equipment & Medical Supplies | 367 W Broadway St, Idaho Falls, ID 83402-3639 | 2007-07-19 |
| 1508996885 | Senior Supports, Inc. | Durable Medical Equipment & Medical Supplies | 841 Oxford Dr, Idaho Falls, ID 83401-4204 | 2007-03-06 |
| 1659426617 | Teton Cancer Institute | Durable Medical Equipment & Medical Supplies | 1957 E 17th St, Idaho Falls, ID 83404-6429 | 2007-01-23 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
Please comment or provide details below to improve the information on THERAPEUTIC SHOES INC.
| 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.