Lighthouse Foot & Ankle Center

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3030 Issued in FL

Legal business name

LIGHTHOUSE FOOT & ANKLE CENTER

Practice address

1874 W Hillsboro Blvd Ste F
Deerfield Beach, FL 33442-1420

Phone

(954) 933-9033

Fax

(954) 934-0060

NPI assigned

Jul 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Colette Tara D'Altilio, D.P.M.NPI 1740251008

Title

Manageing Member

Phone

(954) 933-9033

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 14

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

• Colette Tara D'Altilio, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lighthouse Point, FL
  • NPI 1740251008
  Medicare reassignment Authorized official
• Sunil Ayyagari, MD

  • Internal Medicine Physician
  • Coral Springs, FL
  • NPI 1841211851
  NPD (past)
• Ashanna Cooper

  • Physician Assistant
  • Coral Springs, FL
  • NPI 1285349480
  NPD (past)
• Rebecca Lauren Green, PA-C

  • Medical Physician Assistant
  • Lighthouse Point, FL
  • NPI 1346825338
  NPD (past)
• Mayuri P Gupta, MD

  • Gastroenterology Physician
  • Lighthouse Point, FL
  • NPI 1114075785
  NPD (past)
• Vipin Gupta, MD

  • Gastroenterology Physician
  • Lighthouse Point, FL
  • NPI 1912091794
  NPD (past)
• Claire A Jeanty, ARNP

  • Family Nurse Practitioner
  • Deerfield Beach, FL
  • NPI 1972927234
  NPD (past)
• Beste Kaya

  • Physician Assistant
  • Lighthouse Point, FL
  • NPI 1861201667
  NPD (past)
• Christine Luong, PA-C

  • Physician Assistant
  • Lighthouse Point, FL
  • NPI 1548053762

  Single Specialty

  NPD (past)
• Linoj Panicker, D.O

  • Gastroenterology Physician
  • Lighthouse Point, FL
  • NPI 1952714289
  NPD (past)
• Anais Pedoussaut, PA-C

  • Physician Assistant
  • Miami, FL
  • NPI 1326618299
  NPD (past)
• Eduardo Javier Quintero-Nazario, M.D.

  • Gastroenterology Physician
  • Boynton Beach, FL
  • NPI 1306133988
  NPD (past)

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1508056326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50163",
            "city": "LIGHTHOUSE PT",
            "state": "FL",
            "postal_code": "330740163",
            "telephone_number": "954-933-9033",
            "fax_number": "954-934-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 W HILLSBORO BLVD STE F",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421420",
            "telephone_number": "954-933-9033",
            "fax_number": "954-934-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE FOOT & ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "D'ALTILIO",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_middle_name": "TARA",
        "authorized_official_title_or_position": "MANAGEING MEMBER",
        "authorized_official_telephone_number": "954-933-9033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Dental Care
• Life Tracks Treatment Center LLC.
• Lifeline Medical Supply LLC
• Lifestyle Health Inc
• Laurie Light
• Nadia Hooper Lightner
• Ross Mel Limon, DPM
• Darlene Lin
• Ridwan Lin, MD, PHD
• Tiffany Lin

• Foot & Ankle Surgery Podiatrist in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.