FOOT & ANKLE INSTITUTE OF SPORTS MEDICINE, LLC
NPI 1336835875
Podiatrist - Foot & Ankle Surgery in Port Huron, MI

Q: What is Foot & Ankle Institute Of Sports Medicine, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since April 17, 2023

1107 STONE ST STE 3, PORT HURON, MI 48060(810) 204-4494(810) 479-9640 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Foot & Ankle Institute Of Sports Medicine, Llc NPPES

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

FOOT & ANKLE INSTITUTE OF SPORTS MEDICINE, LLC (NPI 1336835875) is a healthcare organization registered as a foot & ankle surgery in Port Huron, Michigan and active in the NPI registry since April 2023. The organization lists Rachelle Randall, Coo, as its authorized official.

NPPES Registry Identity

NPI1336835875

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameFOOT & ANKLE INSTITUTE OF SPORTS MEDICINE, LLC

Location Address1107 STONE ST STE 3Port Huron, MI 48060-3569

Mailing Address1107 Stone St Ste 3Port Huron, MI 48060-3569 · (810) 204-4494 · Fax (810) 479-9640

Phone(810) 204-4494

Fax(810) 479-9640

Organization SubpartNo

Authorized OfficialRachelle RandallCoo · (810) 650-7113

Enumeration DateApril 17, 2023

Last NPPES UpdateFebruary 11, 2025

NPPES CertifiedFebruary 11, 2025

✔ NPI 1336835875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

1107 STONE ST STE 3, Port Huron, MI 48060

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 2

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

JENNA MACKEY PA-C

Physician Assistant

1107 STONE ST STE 3
PORT HURON, MI 48060

St. Clair County (810) 204-4494

RACHELLE RANDALL DPM

Podiatrist (Foot & Ankle Surgery)

1107 STONE ST STE 3
PORT HURON, MI 48060

St. Clair County (810) 204-4494

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 Foot & Ankle Institute Of Sports Medicine, LLC's NPI number?

The NPI number for Foot & Ankle Institute Of Sports Medicine, LLC is 1336835875. It was assigned to this organization in the NPPES registry on April 17, 2023.

Where is Foot & Ankle Institute Of Sports Medicine, LLC located?

Foot & Ankle Institute Of Sports Medicine, LLC is located at 1107 Stone St Ste 3, Port Huron, MI 48060. The listed phone number is (810) 204-4494.

What is Foot & Ankle Institute Of Sports Medicine, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

What insurance does Foot & Ankle Institute Of Sports Medicine, LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Foot & Ankle Institute Of Sports Medicine, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Foot & Ankle Institute Of Sports Medicine, LLC was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.