INTEGRATIVE FOOT AND ANKLE LLC
NPI 1194116343
Podiatrist - Foot & Ankle Surgery in West Palm Beach, FL

NPI Status: Active since February 10, 2015

Contact Information

100 CENTURY BLVD
WEST PALM BEACH, FL
ZIP 33417
Phone: (561) 293-3439
Fax: (561) 689-1844

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery
  • CLIA Number: 10D2168542
  • CLIA Cert. Type: Compliance
  • CLIA Exp. Date: 01-21-2026

About INTEGRATIVE FOOT AND ANKLE LLC

Integrative Foot And Ankle Llc is a provider established in West Palm Beach, Florida operating as a Podiatrist with a focus in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1194116343 assigned on February 2015. The practitioner's primary taxonomy code is 213ES0103X with license number PO3394 (FL). The provider is registered as an organization and their NPI record was last updated 9 years ago. Integrative Foot And Ankle Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Daniel J Pero Dpm (Podiatrist)

NPI
1194116343
Provider Name
INTEGRATIVE FOOT AND ANKLE LLC
Entity Type
Organization
Location Address
100 CENTURY BLVD WEST PALM BEACH, FL 33417
Location Phone
(561) 293-3439
Location Fax
(561) 689-1844
Mailing Address
900 OSCEOLA DR STE 201 WEST PALM BEACH, FL 33409
Mailing Phone
(561) 293-3439
Mailing Fax
(561) 689-1844
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-10-2015
Last Update Date
02-10-2015
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
PO3394
License State
FL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1213ES0103XPodiatric Medicine & Surgery Service Providers

Podiatrist
Foot & Ankle Surgery

FD1702 (FL)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DANIEL J PERO DPM

Authorized Official Title
PODIATRIST
Authorized Official Phone
(561) 293-3439

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2168542
Facility Type
Physician Office
Certificate Effective Date
January 22, 2024
Certificate Expiration Date
January 21, 2026
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Integrative Foot And Ankle Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194116343
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21184211238
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 2 + 1 + 1 + 2 + 3 + 8 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1194116343 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851838825CENTURY PHYSICAL THERAPY, LLC
Organization
Clinic/Center (Physical Therapy)100 CENTURY BLVD
WEST PALM BEACH, FL 33417
(561) 346-5701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194116343, enumerated in the NPI registry as an "organization" on February 10, 2015

The provider is located at 100 Century Blvd West Palm Beach, Fl 33417 and the phone number is (561) 293-3439

This medical organization specializes in Podiatrist with taxonomy code 213ES0103X with a focus in Foot & Ankle Surgery

The provider's CLIA number is 10D2168542 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on February 10, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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