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FOOTPRINTS FASHION FOOTWEAR
NPI 1003860263
Durable Medical Equipment & Medical Supplies in Newington, CT

Active since May 20, 2006
79 COSTELLO RD, NEWINGTON, CT 06111(860) 666-3100(860) 594-0705 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Footprints Fashion Footwear NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOOTPRINTS FASHION FOOTWEAR (NPI 1003860263) is a healthcare organization registered as a durable medical equipment & medical supplies in Newington, Connecticut and active in the NPI registry since May 2006. The organization lists Scott D Cohen, Vice President, as its authorized official.

NPPES Registry Identity

NPI1003860263
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameFOOTPRINTS FASHION FOOTWEAR
Location Address79 COSTELLO RDNewington, CT 06111-5109
Mailing Address79 Costello RdNewington, CT 06111-5109 · (860) 666-3100 · Fax (860) 594-0705
Phone(860) 666-3100
Fax(860) 594-0705
Organization SubpartNo
Authorized OfficialScott D CohenVice President · (860) 666-3100
Enumeration DateMay 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1003860263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
79 COSTELLO RD, Newington, CT 06111
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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Footprints Fashion Footwear is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateConnecticutEnrollment IDO20100930077955DME · Pedorthic PersonnelDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Footprints Fashion Footwear, Inc carries, from the Medicare DMEPOS supplier directory.

Footprints Fashion Footwear, Inc

DMEPOS supplier · Newington, CTOperated by Footprints Fashion Footwear
⋮

Does not accept Medicare assignment

Footprints Fashion Footwear, Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20645897
Medicare Participant SinceJanuary 1, 1998
Supplier Location79 Costello RdNewington, CT 06111
Phone(860) 666-3100
Provider TypePedorthic Personnel
Supplier Specialties
Department Store

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Diabetic Shoes/Inserts - Custom
Custom fabricated shoes, socks, & insoles
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Footprints Fashion Footwear's NPI number?

The NPI number for Footprints Fashion Footwear is 1003860263. It was assigned to this organization in the NPPES registry on May 20, 2006.

Where is Footprints Fashion Footwear located?

Footprints Fashion Footwear is located at 79 Costello Rd, Newington, CT 06111. The listed phone number is (860) 666-3100.

What is Footprints Fashion Footwear's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Is Footprints Fashion Footwear enrolled in Medicare?

Yes. Footprints Fashion Footwear is registered in the Medicare PECOS enrollment system.

When is Footprints Fashion Footwear's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Connecticut, Pedorthic Personnel) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Footprints Fashion Footwear accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Footprints Fashion Footwear, Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Footprints Fashion Footwear was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.