1. Home
  2. Directory
  3. Virginia
  4. Manassas
  5. Podiatrist
  6. NPI Profile

BULL RUN FOOT AND ANKLE CLINIC GAINESVILLE FOOT AND ANKLE CLINIC
NPI 1831212067
Podiatrist - Foot & Ankle Surgery in Manassas, VA

Active since April 10, 2007
8637 MATHIS AVE, MANASSAS, VA 20110(703) 368-1800(703) 392-4820 Get Directions Write a Review

NPPES record last updated: July 31, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bull Run Foot And Ankle Clinic Gainesville Foot And Ankle Clinic NPPES

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

BULL RUN FOOT AND ANKLE CLINIC GAINESVILLE FOOT AND ANKLE CLINIC (NPI 1831212067) is a healthcare organization registered as a foot & ankle surgery in Manassas, Virginia and active in the NPI registry since April 2007. The organization lists Theresa Lynn Coates, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1831212067
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameTACKLE MANAGEMENT CORPORATION
Location Address8637 MATHIS AVEManassas, VA 20110-5270
Mailing Address8637 Mathis AveManassas, VA 20110-5270 · (703) 368-1800 · Fax (703) 392-4820
Phone(703) 368-1800
Fax(703) 392-4820
Organization SubpartYes
Authorized OfficialTheresa Lynn CoatesPractice Administrator · (703) 368-1800
Enumeration DateApril 10, 2007
Last NPPES UpdateJuly 31, 2008
✔ NPI 1831212067 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
License✔ Licensed in VA · 0103000741
8637 MATHIS AVE, Manassas, VA 20110
Open in Google Maps ↗

Other Names 1

Doing Business AsBull Run Foot And Ankle Clinic Gainesville Foot And Ankle Clinic

Other Identifiers 1

OtherC10314Medicare Ptan

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.

TACKLE MANAGEMENT CORPORATION
Podiatrist (Foot & Ankle Surgery)
8637 MATHIS AVE
MANASSAS, VA 20110
Manassas City (703) 335-6890
LISTEN NUTRITION, LLC
Dietitian, Registered
8637 MATHIS AVE
MANASSAS, VA 20110
Manassas City (202) 670-9674
NANCY CRESPO-RICHARDSON LLC
Counselor (Professional)
8637 MATHIS AVE
MANASSAS, VA 20110
Manassas City (571) 358-9265
NANCY KATHERINE CRESPO-RICHARDSON LPC
Counselor (Professional)
8637 MATHIS AVE
MANASSAS, VA 20110
Manassas City (571) 358-9265

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 Tackle Management Corporation's NPI number?

The NPI number for Tackle Management Corporation is 1831212067. It was assigned to this organization in the NPPES registry on April 10, 2007. The provider is doing business as Bull Run Foot And Ankle Clinic Gainesville Foot And Ankle Clinic.

Where is Tackle Management Corporation located?

Tackle Management Corporation is located at 8637 Mathis Ave, Manassas, VA 20110. The listed phone number is (703) 368-1800.

What is Tackle Management Corporation's specialty?

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

When was this NPI record last updated?

The NPPES record for Tackle Management Corporation was last updated on July 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.