PENNSYLVANIA SPINE TO FOOT PAIN SPECIALISTS GP
NPI 1972166940
Podiatrist - Foot & Ankle Surgery in Philadelphia, PA

Q: What is Pennsylvania Spine To Foot Pain Specialists Gp's specialty?

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

Active since April 16, 2019

500 FAIRMOUNT AVE FL 1, PHILADELPHIA, PA 19123(267) 909-9594(267) 367-5559 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 18, 2021, Apr 16, 2019 (2 updates tracked since 2019).

On this page

About Pennsylvania Spine To Foot Pain Specialists Gp NPPES

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

PENNSYLVANIA SPINE TO FOOT PAIN SPECIALISTS GP (NPI 1972166940) is a healthcare organization registered as a foot & ankle surgery in Philadelphia, Pennsylvania and active in the NPI registry since April 2019. The organization maintains 3 additional practice locations and lists Alyssa Marie Piccillo, Partner, as its authorized official.

NPPES Registry Identity

NPI1972166940

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NamePENNSYLVANIA SPINE TO FOOT PAIN SPECIALISTS GP

Location Address500 FAIRMOUNT AVE FL 1Philadelphia, PA 19123-2890

Mailing AddressPo Box 40068Philadelphia, PA 19106-0068 · (267) 909-9594

Phone(267) 909-9594

Fax(267) 367-5559

Organization SubpartNo

Authorized OfficialAlyssa Marie PiccilloPartner · (570) 417-4755

Enumeration DateApril 16, 2019

Last NPPES UpdateJune 2, 20222 updates tracked since enumeration

NPPES CertifiedJune 2, 2022

✔ NPI 1972166940 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

500 FAIRMOUNT AVE FL 1, Philadelphia, PA 19123

Open in Google Maps ↗

Secondary Practice Locations 3

Location 11 Brown St Ste CPhiladelphia, PA 19123-3361 · Phone (267) 909-9594 · Fax (267) 367-5559

Location 2443 Mill StBristol, PA 19007-4801 · Phone (267) 909-9594 · Fax (267) 367-5559

Location 3163 N Commerce WayBethlehem, PA 18017-8933 · Phone (267) 909-9594 · Fax (267) 367-5559

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pennsylvania Spine To Foot Pain Specialists Gp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pennsylvania Spine To Foot Pain Specialists Gp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alyssa Piccillo, DPM

Podiatry

NPI 1235513763

500 FAIRMOUNT AVE FL 1
Philadelphia, PA 19123

(267) 909-9594

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pennsylvania Spine To Foot Pain Specialists Gp's NPI number?

The NPI number for Pennsylvania Spine To Foot Pain Specialists Gp is 1972166940. It was assigned to this organization in the NPPES registry on April 16, 2019.

Where is Pennsylvania Spine To Foot Pain Specialists Gp located?

Pennsylvania Spine To Foot Pain Specialists Gp is located at 500 Fairmount Ave Fl 1, Philadelphia, PA 19123. The listed phone number is (267) 909-9594.

What is Pennsylvania Spine To Foot Pain Specialists Gp's specialty?

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

Is Pennsylvania Spine To Foot Pain Specialists Gp enrolled in Medicare?

Yes. Pennsylvania Spine To Foot Pain Specialists Gp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pennsylvania Spine To Foot Pain Specialists Gp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Pennsylvania Spine To Foot Pain Specialists Gp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pennsylvania Spine To Foot Pain Specialists Gp was last updated on June 2, 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.