ELLSWORTH FOOT AND ANKLE NPI 1134870041

NPI Information

  • NPI: 1134870041
  • Provider Name: ELLSWORTH FOOT AND ANKLE
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Former Legal Business Name: PRECISION FOOT AND ANKLE
  • Address: 3355 N UNIVERSITY AVE STE 175
    PROVO, UT
    ZIP 84604
  • Phone: (801) 377-5649

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NPI Details

ELLSWORTH FOOT AND ANKLE is a podiatrist in Provo, UT. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ELLSWORTH FOOT AND ANKLE NPI is 1134870041. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Precision Foot And Ankle.

The provider's business location address is:

3355 N UNIVERSITY AVE STE 175
PROVO, UT
ZIP 84604-620
Phone: (801) 377-5649

The provider's authorized official is Ryan Scott Ellsworth .
The authorized official title is Ceo and has the following contact phone number (801) 273-0100.

The enumeration date for this NPI number is 1/12/2022 and was last updated on 9/25/2024.

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
1213E00000XPodiatristYes

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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