INTEGRATED FOOT AND ANKLE SPECIALISTS OF PA LLC
NPI 1881404705
Clinic/Center - Podiatric in Philadelphia, PA

Active since January 13, 2025
5735 RIDGE AVE STE 208, PHILADELPHIA, PA 19128(215) 593-2878 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Podiatric

About INTEGRATED FOOT AND ANKLE SPECIALISTS OF PA LLC

This page provides the complete NPI Profile along with additional information for Integrated Foot And Ankle Specialists Of Pa Llc, a provider established in Philadelphia, Pennsylvania operating as a Clinic/center, focusing in podiatric . The healthcare provider is registered in the NPI registry with number 1881404705 assigned on January 2025. The practitioner's primary taxonomy code is 261QP1100X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Teresa Leonarda Ciaccio (Chief Operating Officer)

NPI
1881404705 Verify this NPI
Provider Name
INTEGRATED FOOT AND ANKLE SPECIALISTS OF PA LLC
Entity Type
Organization
Location Address
5735 RIDGE AVE STE 208 PHILADELPHIA, PA 19128
Location Phone
(215) 593-2878
Mailing Address
100 FRONT ST STE 970 CONSHOHOCKEN, PA 19428
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-13-2025
Last Update Date
01-13-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Podiatric

Taxonomy Code
261QP1100X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TERESA LEONARDA CIACCIO

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(516) 993-8666

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Podiatrist
5735 RIDGE AVE STE 208
PHILADELPHIA, PA 19128
Podiatrist
5735 RIDGE AVE STE 208
PHILADELPHIA, PA 19128

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881404705, enumerated as an "organization" on January 13, 2025.

The provider is located at 5735 RIDGE AVE STE 208 PHILADELPHIA, PA 19128 and the phone number is (215) 593-2878.

Clinic/Center with taxonomy code 261QP1100X and a focus in Podiatric.