FOOT DOCTOR OF RAPPAHANNOCK LTD NPI 1457432130

NPI Information

  • NPI: 1457432130
  • Provider Name: FOOT DOCTOR OF RAPPAHANNOCK LTD
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 12010 KILARNEY DR
    FREDERICKSBRG, VA
    ZIP 22407
  • Phone: (540) 548-3668

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NPI Details

FOOT DOCTOR OF RAPPAHANNOCK LTD is a podiatrist in Fredericksbrg, VA. The provider is 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. FOOT DOCTOR OF RAPPAHANNOCK LTD NPI is 1457432130. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12010 KILARNEY DR
FREDERICKSBRG, VA
ZIP 22407-207
Phone: (540) 548-3668
Fax: (540) 548-0019

The provider's authorized official is Ilene S Terrell .
The authorized official title is Podiatrist Owner and has the following contact phone number (540) 548-3668.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 9/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist0103000702VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16068210001MEDICARE NSCVIRGINIA
20380690003MEDICARE NSCVIRGINIA
3480000656MEDICARE ID-TYPE UNSPECIFIEDVIRGINIAMEDICARE
4009302417MEDICAIDVIRGINIA
5T21410MEDICARE UPINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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