ACTIVE FOOT AND ANKLE CARE LLC NPI 1023287935

NPI Information

  • NPI: 1023287935
  • Provider Name: ACTIVE FOOT AND ANKLE CARE LLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 138 SHAWNEE ST
    GREENVILLE, OH
    ZIP 45331
  • Phone: (937) 459-5432

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NPI Details

ACTIVE FOOT AND ANKLE CARE LLC is a foot and ankle surgery podiatrist in Greenville, OH. ACTIVE FOOT AND ANKLE CARE LLC NPI is 1023287935. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

138 SHAWNEE ST
GREENVILLE, OH
ZIP 45331
Phone: (937) 459-5432

The provider's authorized official is Whitney Rae Holsopple .
The authorized official title is Owner and has the following contact phone number (937) 216-8958.

The enumeration date for this NPI number is 2/25/2008 and was last updated on 12/17/2019.

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
1213ES0103XPodiatristFoot & Ankle Surgery36003402OHIOYes

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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