Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Foot & Ankle Institute of Sports Medicine, LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1336835875

Foot & Ankle Institute of Sports Medicine, LLC is a Foot & Ankle Surgery Podiatrist in Port Huron, Michigan. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1107 Stone St Ste 3
Port Huron, MI 48060-3569
Phone: (810) 204-4494
Fax: (810) 479-9640
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X

Record details

NPI number1336835875
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rachelle Randall — Coo · (810) 650-7113
NPI enumeratedApril 17, 2023
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025
Mailing address1107 Stone St Ste 3, Port Huron, MI 48060-3569

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