Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Pennsylvania Spine to Foot Pain Specialists Gp

Organization Foot & Ankle Surgery Podiatrist · NPI 1972166940

Pennsylvania Spine to Foot Pain Specialists Gp is a Foot & Ankle Surgery Podiatrist in Philadelphia, Pennsylvania. Works from 4 locations. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

500 Fairmount Ave Fl 1
Philadelphia, PA 19123-2890
Phone: (267) 909-9594
Fax: (267) 367-5559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 163 N Commerce Way, Bethlehem, PA 18017-8933 — (267) 909-9594
  • 443 Mill St, Bristol, PA 19007-4801 — (267) 909-9594
  • 1 Brown St Ste C, Philadelphia, PA 19123-3361 — (267) 909-9594

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X

Record details

NPI number1972166940
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alyssa Piccillo — Partner · (570) 417-4755
NPI enumeratedApril 16, 2019
Last updated in NPPESJune 2, 2022
Certification dateJune 2, 2022
Mailing addressPo Box 40068, Philadelphia, PA 19106-0068

Other providers in Philadelphia