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

Manassas Foot Clinic Inc

Organization Foot & Ankle Surgery Podiatrist · NPI 1578637633

Manassas Foot Clinic Inc is a Foot & Ankle Surgery Podiatrist in Manassas, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8704 Rolling Rd
Manassas, VA 20110-4253
Phone: (703) 361-3132
Fax: (703) 368-0291
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 · Licence 0103001009 (VA)
Foot Surgery Podiatrist Taxonomy 213ES0131X · Licence 0103000268 (VA)

Record details

NPI number1578637633
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Bennett — President · (703) 361-3132
NPI enumeratedNovember 20, 2006
Last updated in NPPESDecember 18, 2012
Mailing address8704 Rolling Rd, Manassas, VA 20110-4253

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