Active NPI
Performance Foot & Ankle, LLC
- Foot & Ankle Surgery Podiatrist
- Wooster, OH
National Provider Identifier
1346887510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- PERFORMANCE FOOT & ANKLE, LLC
- Practice address
- 3727 Friendsville Rd Unit 2
Wooster, OH 44691-7127 - Phone
- (330) 473-1447
- NPI assigned
- Dec 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole D Horn, DPM
- Title
- Owner
- Phone
- (330) 473-1447
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
3727 Friendsville Rd Unit 2
Wooster, OH 44691-7127
Mailing address
890 Wooster Rd
Millersburg, OH 44654-1033
Phone (330) 473-1447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191205000924 | OH | DME Supplier - Physician - Podiatry | 4789909979 | Practice locations: Wooster, OH |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765238400000",
"number": "1346887510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 WOOSTER RD",
"city": "MILLERSBURG",
"state": "OH",
"postal_code": "446541033",
"telephone_number": "330-473-1447",
"fax_number": "330-473-1520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3727 FRIENDSVILLE RD UNIT 2",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446917127",
"telephone_number": "330-473-1447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERFORMANCE FOOT & ANKLE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-05",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A",
"authorized_official_last_name": "HORN",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-473-1447",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.