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ONE FOOT FORWARD PODIATRY PC NPI 1962145979


NPI Information

NPI: 1962145979
Provider Name: ONE FOOT FORWARD PODIATRY PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
9501 STATE RD
PHILADELPHIA, PA
ZIP 19114
Phone: (646) 921-0907
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ONE FOOT FORWARD PODIATRY PC is a podiatrist in Philadelphia, PA. 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. ONE FOOT FORWARD PODIATRY PC NPI is 1962145979. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9501 STATE RD
PHILADELPHIA, PA
ZIP 19114-053
Phone: (646) 921-0907
Fax: (315) 612-9793

The provider's authorized official is Carolina Henriquez .
The authorized official title is Office Manager and has the following contact phone number (267) 635-7092.

The enumeration date for this NPI number is 4/18/2022 and was last updated on 3/27/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1SC007233OTHERPENNSYLVANIAPENNSYLVANIA

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: 4/28/2024

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.