FOOTPRINT ORTHOTICS LLC
NPI 1568846111
Durable Medical Equipment & Medical Supplies - Customized Equipment in Selinsgrove, PA

Active since July 14, 2015
2 ATRIUM CT, SUITE B, SELINSGROVE, PA 17870(570) 372-0707(570) 372-0799 Get Directions Write a Review

NPPES record last updated: July 24, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Customized Equipment

About FOOTPRINT ORTHOTICS LLC

This page provides the complete NPI Profile along with additional information for Footprint Orthotics Llc, a provider established in Selinsgrove, Pennsylvania operating as a Durable Medical Equipment & Medical Supplies, focusing in customized equipment . The healthcare provider is registered in the NPI registry with number 1568846111 assigned on July 2015. The practitioner's primary taxonomy code is 332BC3200X with license number 6000008656 (PA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mrs. Jon Mitchell (Coowner)

NPI
1568846111 Verify this NPI
Provider Name
FOOTPRINT ORTHOTICS LLC
Entity Type
Organization
Location Address
2 ATRIUM CT SUITE B SELINSGROVE, PA 17870
Location Phone
(570) 372-0707
Location Fax
(570) 372-0799
Mailing Address
2 ATRIUM CT SUITE B SELINSGROVE, PA 17870
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-14-2015
Last Update Date
07-24-2015
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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

Durable Medical Equipment & Medical Supplies Customized Equipment

Taxonomy Code
332BC3200X
Type
Suppliers
License No.
6000008656
License State
PA

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

MRS. JON MITCHELL

Authorized Official Title
COOWNER
Authorized Official Phone
(570) 372-0707

Reviews for FOOTPRINT ORTHOTICS LLC

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Dentist (General Practice)
2 ATRIUM CT
SELINSGROVE, PA 17870
Chiropractor
2 ATRIUM CT, STE B
SELINSGROVE, PA 17870
Dentist
2 ATRIUM CT
SELINSGROVE, PA 17870
Prosthetic/Orthotic Supplier
2 ATRIUM CT, SUITE B
SELINSGROVE, PA 17870
Clinic/Center (Dental)
2 ATRIUM CT
SELINSGROVE, PA 17870
Dentist (General Practice)
2 ATRIUM CT
SELINSGROVE, PA 17870
Dentist (Oral and Maxillofacial Surgery)
2 ATRIUM CT
SELINSGROVE, PA 17870

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568846111, enumerated as an "organization" on July 14, 2015.

The provider is located at 2 ATRIUM CT SUITE B SELINSGROVE, PA 17870 and the phone number is (570) 372-0707.

Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X and a focus in Customized Equipment.