ELLSWORTH FOOT AND ANKLE CLINIC
NPI 1932878030
Podiatrist in Provo, UT

Active since September 10, 2021
3355 N UNIVERSITY AVE STE 175, PROVO, UT 84604(801) 253-6886(801) 253-6888 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 5, 2025, Apr 12, 2022, Sep 30, 2021 and 1 more (4 updates tracked since 2021).

About Ellsworth Foot And Ankle Clinic NPPES

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

ELLSWORTH FOOT AND ANKLE CLINIC (NPI 1932878030), doing business as Summit Foot And Ankle, is a healthcare organization registered as a podiatrist in Provo, Utah and active in the NPI registry since September 2021. The organization lists Ryan Ellsworth, Owner, as its authorized official.

NPPES Registry Identity

NPI1932878030
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameELLSWORTH FOOT AND ANKLE CLINIC
Location Address3355 N UNIVERSITY AVE STE 175Provo, UT 84604-6620
Mailing Address9980 S 300 W Ste 300Sandy, UT 84070-3654 · (801) 253-6886 · Fax (801) 253-6888
Fax(801) 253-6888
Organization SubpartYes
Authorized OfficialRyan EllsworthOwner · (801) 253-6886
Enumeration DateSeptember 10, 2021
Last NPPES UpdateFebruary 5, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
NPI 1932878030 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.

3355 N UNIVERSITY AVE STE 175, Provo, UT 84604

Other Names 1

Doing Business AsSummit Foot And Ankle

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.

Podiatrist
3355 N UNIVERSITY AVE STE 175
PROVO, UT 84604
Podiatrist
3355 N UNIVERSITY AVE STE 175
PROVO, UT 84604
Podiatrist (Foot & Ankle Surgery)
3355 N UNIVERSITY AVE STE 175
PROVO, UT 84604
Podiatrist
3355 N UNIVERSITY AVE STE 175
PROVO, UT 84604

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 Clinic's NPI number?

The NPI number for Ellsworth Foot And Ankle Clinic is 1932878030. It was assigned to this organization in the NPPES registry on September 10, 2021. The provider is doing business as Summit Foot and Ankle.

Where is Ellsworth Foot And Ankle Clinic located?

Ellsworth Foot And Ankle Clinic is located at 3355 N University Ave Ste 175, Provo, UT 84604. The listed phone number is (801) 253-6886.

What is Ellsworth Foot And Ankle Clinic'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 Clinic was last updated on February 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.