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PEDORTHIC FOOTCARE OF OKLAHOMA
NPI 1093080905
Prosthetic/Orthotic Supplier in Oklahoma City, OK

Active since March 12, 2012
5100 N BROOKLINE AVE STE 330, OKLAHOMA CITY, OK 73112(405) 924-7306(405) 600-7287 Get Directions Write a Review

NPPES record last updated: April 12, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pedorthic Footcare Of Oklahoma NPPES

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

PEDORTHIC FOOTCARE OF OKLAHOMA (NPI 1093080905) is a healthcare organization registered as a prosthetic/orthotic supplier in Oklahoma City, Oklahoma and active in the NPI registry since March 2012. The organization lists Kevin Jaeger, Certified & Licensed Pedorthist, as its authorized official.

NPPES Registry Identity

NPI1093080905
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePEDORTHIC FOOTCARE OF OKLAHOMA
Location Address5100 N BROOKLINE AVE STE 330Oklahoma City, OK 73112-3603
Mailing Address5100 N Brookline Ave Ste 330Oklahoma City, OK 73112-3603 · (405) 924-7306 · Fax (405) 600-7287
Phone(405) 924-7306
Fax(405) 600-7287
Organization SubpartNo
Authorized OfficialKevin JaegerCertified & Licensed Pedorthist · (405) 924-7306
Enumeration DateMarch 12, 2012
Last NPPES UpdateApril 12, 2012
✔ NPI 1093080905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License✔ Licensed in OK · 84
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.
5100 N BROOKLINE AVE STE 330, Oklahoma City, OK 73112
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Other Providers at the Same Location NPPES

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

MR. KEVIN A JAEGER CPED, LPED
Specialist
5100 N BROOKLINE AVE STE 330
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 924-7306

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 Pedorthic Footcare Of Oklahoma's NPI number?

The NPI number for Pedorthic Footcare Of Oklahoma is 1093080905. It was assigned to this organization in the NPPES registry on March 12, 2012.

Where is Pedorthic Footcare Of Oklahoma located?

Pedorthic Footcare Of Oklahoma is located at 5100 N Brookline Ave Ste 330, Oklahoma City, OK 73112. The listed phone number is (405) 924-7306.

What is Pedorthic Footcare Of Oklahoma's specialty?

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

When was this NPI record last updated?

The NPPES record for Pedorthic Footcare Of Oklahoma was last updated on April 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.