PROFESSIONAL FOOTWEAR LLC NPI 1467403055

NPI Information

  • NPI: 1467403055
  • Provider Name: PROFESSIONAL FOOTWEAR LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: DBA THE FITTED FOOT
  • Address: 1239 E 4TH STREET RD
    SEYMOUR, IN
    ZIP 47274
  • Phone: (812) 522-3800

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NPI Details

PROFESSIONAL FOOTWEAR LLC is a durable medical equipment medical supplies in Seymour, IN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PROFESSIONAL FOOTWEAR LLC NPI is 1467403055. The provider is registered as an organization entity type.
The provider Is Doing Business As Dba The Fitted Foot.

The provider's business location address is:

1239 E 4TH STREET RD
SEYMOUR, IN
ZIP 47274-839
Phone: (812) 522-3800
Fax: (812) 522-3883

The provider's authorized official is Terry L. Nichalson .
The authorized official title is Manager and has the following contact phone number (812) 522-3800.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 7/14/2015.

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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15833140001MEDICARE NSCINDIANA
2200904040 AMEDICAIDINDIANA

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: 11/21/2025

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