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

Foot and Ankle Specialists of the Mid Atlantic LLC

Organization Non-Pharmacy Dispensing Site · NPI 1063306132

Foot and Ankle Specialists of the Mid Atlantic LLC is a Non-Pharmacy Dispensing Site in Lake Ridge, Virginia. Registered with an NPI since 2025.

In the registry since
2025
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

1721 Financial Loop
Lake Ridge, VA 22192-2460
Phone: (703) 491-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X

Record details

NPI number1063306132
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rosalie Kreighbaum — Regional Credentialing Specialist · (314) 909-1920
NPI enumeratedJune 4, 2025
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025
Mailing addressPo Box 825159, Philadelphia, PA 19182-5159

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