Organization Active NPI

Total Foot and Ankle Center

  • Podiatric Clinic/Center
  • Honesdale, PA
National Provider Identifier
1154919090
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
TOTAL FOOT AND ANKLE CENTER
Practice address
3355 Lake Ariel Hwy
Honesdale, PA 18431-1156
Phone
(570) 228-2990
NPI assigned
Jan 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Glenn Christopher Woodley, DPM, FACFASNPI 1477948743
Title
Owner
Phone
(570) 228-2990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

3355 Lake Ariel Hwy
Honesdale, PA 18431-1156

Mailing address

3355 Lake Ariel Hwy
Honesdale, PA 18431-1156
Phone (570) 228-2990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210414001147 PA Part B Supplier - Clinic/Group Practice 4082022900 Receives reassigned benefits from 2 practitioners
Practice locations: Honesdale, PA

National Provider Directory

National Provider Directory

Locations

3355 Lake Ariel Hwy
Ste B
Honesdale, PA 18431

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23123/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1154919090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 LAKE ARIEL HWY",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311156",
            "telephone_number": "570-228-2990",
            "fax_number": "833-989-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 LAKE ARIEL HWY",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311156",
            "telephone_number": "570-228-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL FOOT AND ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "WOODLEY",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-228-2990",
        "authorized_official_credential": "DPM, FACFAS"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honesdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.