PETERSON SHOE INC
NPI 1639235088
Prosthetic/Orthotic Supplier in Anoka, MN

Q: What is Peterson Shoe Inc's NPI number?

The NPI number for Peterson Shoe Inc is 1639235088. It was assigned to this organization in the NPPES registry on December 29, 2006.

Q: What is Peterson Shoe Inc's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Q: When was this NPI record last updated?

The NPPES record for Peterson Shoe Inc was last updated on April 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since December 29, 2006

209 E MAIN ST, ANOKA, MN 55303(763) 421-3433(763) 421-0054 Get Directions Write a Review

NPPES record last updated: April 8, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Peterson Shoe Inc NPPES

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

PETERSON SHOE INC (NPI 1639235088) is a healthcare organization registered as a prosthetic/orthotic supplier in Anoka, Minnesota and active in the NPI registry since December 2006. The organization lists Michelle Marie Purtle-smith, Manager, as its authorized official.

NPPES Registry Identity

NPI1639235088

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NamePETERSON SHOE INC

Location Address209 E MAIN STAnoka, MN 55303-3144

Mailing Address209 E Main StAnoka, MN 55303-3144 · (763) 421-3433 · Fax (763) 421-0054

Phone(763) 421-3433

Fax(763) 421-0054

Organization SubpartNo

Authorized OfficialMichelle Marie Purtle-smithManager · (763) 421-3433

Enumeration DateDecember 29, 2006

Last NPPES UpdateApril 8, 2008

✔ NPI 1639235088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

License✔ Licensed in MN · NA

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.

209 E MAIN ST, Anoka, MN 55303

Open in Google Maps ↗

Other Identifiers 1

Medicare PIN5639210001

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 Peterson Shoe Inc's NPI number?

The NPI number for Peterson Shoe Inc is 1639235088. It was assigned to this organization in the NPPES registry on December 29, 2006.

Where is Peterson Shoe Inc located?

Peterson Shoe Inc is located at 209 E Main St, Anoka, MN 55303. The listed phone number is (763) 421-3433.

What is Peterson Shoe Inc'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 Peterson Shoe Inc was last updated on April 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.