Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Active Podiatry PC

Organization Podiatrist · NPI 1477739241

Active Podiatry PC provides Podiatrist services in Crawfordsville, Indiana. Licensed in Indiana. Registered with an NPI since 2008.

Licensed in
IN
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1910 Lafayette Rd
Crawfordsville, IN 47933-1037
Phone: (765) 362-7200
Fax: (765) 362-4870
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 07000857A (IN)

Record details

NPI number1477739241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yong Chae — Owner/President · (317) 328-6622
NPI enumeratedJanuary 11, 2008
Last updated in NPPESJanuary 27, 2021
Certification dateJanuary 27, 2021
Mailing address1910 Lafayette Rd, Crawfordsville, IN 47933-1037

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