ELLSWORTH FOOT AND ANKLE
NPI 1295486116
Podiatrist in Park City, UT

Active since January 12, 2022
1678 BONANZA DR, PARK CITY, UT 84060(801) 253-6886 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellsworth Foot And Ankle NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLSWORTH FOOT AND ANKLE (NPI 1295486116) is a healthcare organization registered as a podiatrist in Park City, Utah and active in the NPI registry since January 2022. The organization lists Allison Peck, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1295486116
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameELLSWORTH FOOT AND ANKLE
Location Address1678 BONANZA DRPark City, UT 84060-7201
Mailing Address9980 S 300 W Ste 310Sandy, UT 84070-3654 · (801) 253-6886
Organization SubpartNo
Authorized OfficialAllison PeckCredentialing Specialist · (801) 253-6886
Enumeration DateJanuary 12, 2022
NPPES CertifiedJanuary 12, 2022
NPI 1295486116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
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.
1678 BONANZA DR, Park City, UT 84060

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1678 BONANZA DR
PARK CITY, UT 84060
Chiropractor
1678 BONANZA DR
PARK CITY, UT 84060
Chiropractor
1678 BONANZA DR
PARK CITY, UT 84060
Chiropractor
1678 BONANZA DR
PARK CITY, UT 84060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellsworth Foot And Ankle's NPI number?

The NPI number for Ellsworth Foot And Ankle is 1295486116. It was assigned to this organization in the NPPES registry on January 12, 2022.

Where is Ellsworth Foot And Ankle located?

Ellsworth Foot And Ankle is located at 1678 Bonanza Dr, Park City, UT 84060. The listed phone number is (801) 253-6886.

What is Ellsworth Foot And Ankle's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Ellsworth Foot And Ankle was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.