Provider Type Icon

FEDRICK GROUP LLC NPI 1205071867


NPI Information

NPI: 1205071867
Provider Name: FEDRICK GROUP, LLC

Doing Business As: THE ATHLETE'S FOOT

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
875 LAWRENCEVILLE SUWANEE RD
SUITE 310
LAWRENCEVILLE, GA
ZIP 30043
Phone: (678) 377-2788
Get Directions

FEDRICK GROUP, LLC is a prosthetic orthotic supplier in Lawrenceville, GA. The provider is 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. FEDRICK GROUP, LLC NPI is 1205071867. The provider is registered as an organization entity type.
The provider Is Doing Business As The Athlete's Foot.

The provider's business location address is:

875 LAWRENCEVILLE SUWANEE RD
SUITE 310
LAWRENCEVILLE, GA
ZIP 30043-479
Phone: (678) 377-2788
Fax: (678) 377-2788

The provider's authorized official is Kasinda Fedrick .
The authorized official title is Partner and has the following contact phone number (678) 377-2788.

The enumeration date for this NPI number is 12/11/2008 and was last updated on 12/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.