FINAL KICK ANKLE AND FOOT CLINIC LLC
NPI 1154860823
Podiatrist - Foot & Ankle Surgery in Salt Lake City, UT

Active since February 14, 2017
348 E 4500 S, SUITE 370, SALT LAKE CITY, UT 84107(804) 687-5191 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Final Kick Ankle And Foot Clinic Llc NPPES

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

FINAL KICK ANKLE AND FOOT CLINIC LLC (NPI 1154860823) is a healthcare organization registered as a foot & ankle surgery in Salt Lake City, Utah and active in the NPI registry since February 2017. The organization lists Selina Sekulic, President, as its authorized official.

NPPES Registry Identity

NPI1154860823
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameFINAL KICK ANKLE AND FOOT CLINIC LLC
Location Address348 E 4500 S, SUITE 370Salt Lake City, UT 84107-3906
Mailing Address348 E 4500 S, Suite 370Salt Lake City, UT 84107-3906 · (804) 687-5191
Organization SubpartNo
Authorized OfficialSelina SekulicPresident · (804) 687-5191
Enumeration DateFebruary 14, 2017
✔ NPI 1154860823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in UT · 1891082830
348 E 4500 S, Salt Lake City, UT 84107

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Final Kick Ankle And Foot Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Final Kick Ankle And Foot Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1891082830
348 E 4500 S STE 370
Salt Lake City, UT 84107
(385) 770-7203
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Final Kick Ankle And Foot Clinic LLC's NPI number?

The NPI number for Final Kick Ankle And Foot Clinic LLC is 1154860823. It was assigned to this organization in the NPPES registry on February 14, 2017.

Where is Final Kick Ankle And Foot Clinic LLC located?

Final Kick Ankle And Foot Clinic LLC is located at 348 E 4500 S Suite 370, Salt Lake City, UT 84107. The listed phone number is (804) 687-5191.

What is Final Kick Ankle And Foot Clinic LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Final Kick Ankle And Foot Clinic LLC enrolled in Medicare?

Yes. Final Kick Ankle And Foot Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Final Kick Ankle And Foot Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Final Kick Ankle And Foot Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Final Kick Ankle And Foot Clinic LLC accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Final Kick Ankle And Foot Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Final Kick Ankle And Foot Clinic LLC was last updated on February 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.