PARK CITY PEDORTHICS
NPI 1407492671
Pedorthist in Merrill, WI

Active since November 22, 2019
902 E 1ST ST, MERRILL, WI 54452(715) 203-5730 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 23, 2020, Nov 22, 2019 (2 updates tracked since 2019).

About Park City Pedorthics NPPES

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

PARK CITY PEDORTHICS (NPI 1407492671) is a healthcare organization registered as a pedorthist in Merrill, Wisconsin and active in the NPI registry since November 2019. The organization lists Tasha Gleason, Owner, as its authorized official.

NPPES Registry Identity

NPI1407492671
Entity TypeOrganization
Primary Taxonomy224L00000X
Legal Business NamePARK CITY PEDORTHICS
Location Address902 E 1ST STMerrill, WI 54452-2508
Mailing Address902 E 1st StMerrill, WI 54452-2508 · (715) 203-5730
Organization SubpartNo
Authorized OfficialTasha GleasonOwner · (715) 203-5730
Enumeration DateNovember 22, 2019
Last NPPES UpdateJanuary 23, 20202 updates tracked since enumeration
NPI 1407492671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224L00000X
Definition

An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
902 E 1ST ST, Merrill, WI 54452

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

Other Providers at the Same Location NPPES

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

Pedorthist
902 E 1ST ST
MERRILL, WI 54452

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 Park City Pedorthics's NPI number?

The NPI number for Park City Pedorthics is 1407492671. It was assigned to this organization in the NPPES registry on November 22, 2019.

Where is Park City Pedorthics located?

Park City Pedorthics is located at 902 E 1st St, Merrill, WI 54452. The listed phone number is (715) 203-5730.

What is Park City Pedorthics's specialty?

The primary specialty registered for this NPI is Pedorthist with taxonomy code 224L00000X.

What insurance does Park City Pedorthics accept?

Health plans from UnitedHealthcare list Park City Pedorthics 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 Park City Pedorthics was last updated on January 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.