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FOOTSTAR PEDORTHIC CENTER LLC
NPI 1295053668
Prosthetic/Orthotic Supplier in Milford, CT

Active since May 11, 2010
74 BROAD ST, MILFORD, CT 06460(800) 318-0007 Get Directions Write a Review

NPPES record last updated: May 11, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Footstar Pedorthic Center Llc NPPES

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

FOOTSTAR PEDORTHIC CENTER LLC (NPI 1295053668) is a healthcare organization registered as a prosthetic/orthotic supplier in Milford, Connecticut and active in the NPI registry since May 2010. The organization lists Matthew Arcivolo, Owner, as its authorized official.

NPPES Registry Identity

NPI1295053668
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameFOOTSTAR PEDORTHIC CENTER LLC
Location Address74 BROAD STMilford, CT 06460-3353
Mailing Address74 Broad StMilford, CT 06460-3353 · (800) 318-0007
Phone(800) 318-0007
Organization SubpartNo
Authorized OfficialMatthew ArcivoloOwner · (800) 318-0007
Enumeration DateMay 11, 2010
✔ NPI 1295053668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License✔ Licensed in CT · 2391
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.
74 BROAD ST, Milford, CT 06460
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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 Footstar Pedorthic Center LLC's NPI number?

The NPI number for Footstar Pedorthic Center LLC is 1295053668. It was assigned to this organization in the NPPES registry on May 11, 2010.

Where is Footstar Pedorthic Center LLC located?

Footstar Pedorthic Center LLC is located at 74 Broad St, Milford, CT 06460. The listed phone number is (800) 318-0007.

What is Footstar Pedorthic Center LLC'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 Footstar Pedorthic Center LLC was last updated on May 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.