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MY FOOT RX LLC
NPI 1033654199
Prosthetic/Orthotic Supplier in Bloomer, WI

Active since December 28, 2016
1706 YORK ST, UNIT #3, BLOOMER, WI 54724(715) 577-9098 Get Directions Write a Review

NPPES record last updated: January 8, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 8, 2018, Dec 28, 2016 (2 updates tracked since 2016).

About My Foot Rx Llc NPPES

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

MY FOOT RX LLC (NPI 1033654199) is a healthcare organization registered as a prosthetic/orthotic supplier in Bloomer, Wisconsin and active in the NPI registry since December 2016. The organization lists Robert C Mc Roberts, Owner, as its authorized official.

NPPES Registry Identity

NPI1033654199
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameMY FOOT RX LLC
Location Address1706 YORK ST, UNIT #3Bloomer, WI 54724-1920
Mailing Address1706 York St Ste 3Bloomer, WI 54724-1921 · (715) 568-1500 · Fax (715) 568-1501
Phone(715) 577-9098
Organization SubpartNo
Authorized OfficialRobert C Mc RobertsOwner · (715) 568-1500
Enumeration DateDecember 28, 2016
Last NPPES UpdateJanuary 8, 20182 updates tracked since enumeration
✔ NPI 1033654199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
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.
Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X
1706 YORK ST, Bloomer, WI 54724
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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

My Foot Rx Llc 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
StateWisconsinEnrollment IDO20180319002062DME · Certified Orth/Pros/PedorthistDue 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 My Foot Rx LLC carries, from the Medicare DMEPOS supplier directory.

My Foot Rx LLC

DMEPOS supplier · Bloomer, WI
✔

Accepts Medicare assignment

My Foot Rx LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20455991
Medicare Participant SinceMarch 19, 2018
Supplier Location1706 York St Ste 3Bloomer, WI 54724
Phone(715) 568-1500
Provider TypeCertified Orth/Pros/Pedorthist · Medical Supply Company With Pedorthic Personnel

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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ACTIVE CHIROPRACTIC LLC
Chiropractor
1706 YORK ST, SUITE 5
BLOOMER, WI 54724
Chippewa County (715) 568-9923
DR. KEITH ALLEN LEVICK D.C.
Chiropractor
1706 YORK ST, SUITE 5
BLOOMER, WI 54724
Chippewa County (715) 568-9923

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 My Foot Rx LLC's NPI number?

The NPI number for My Foot Rx LLC is 1033654199. It was assigned to this organization in the NPPES registry on December 28, 2016.

Where is My Foot Rx LLC located?

My Foot Rx LLC is located at 1706 York St Unit #3, Bloomer, WI 54724. The listed phone number is (715) 577-9098.

What is My Foot Rx LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Is My Foot Rx LLC enrolled in Medicare?

Yes. My Foot Rx LLC is registered in the Medicare PECOS enrollment system.

When is My Foot Rx LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Wisconsin, Certified Orth/Pros/Pedorthist) 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 My Foot Rx LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, My Foot Rx LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for My Foot Rx LLC was last updated on January 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.