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

Indian River Podiatry, PA

Organization Foot & Ankle Surgery Podiatrist · NPI 1609408996

Indian River Podiatry, PA is a Foot & Ankle Surgery Podiatrist in Sebastian, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1515 US Highway 1 Ste 204
Sebastian, FL 32958-1612
Phone: (772) 569-0081
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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 number1609408996
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIndian River Podiatry, PA
Authorized official Nicholas Rutledge — Owner · (772) 569-0081
NPI enumeratedFebruary 5, 2020
Last updated in NPPESFebruary 5, 2020
Certification dateFebruary 5, 2020
Mailing addressPo Box 99, Vero Beach, FL 32961-0099

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