Integrated Foot and Ankle Specialists of PA LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

INTEGRATED FOOT AND ANKLE SPECIALISTS OF PA LLC

Doing business as

Quarryville Family Foot Care

Practice address

104 Fite Way
Quarryville, PA 17566-9395

Phone

(717) 786-8896

NPI assigned

Feb 26, 2024

Last updated

Feb 28, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

INTEGRATED FOOT AND ANKLE SPECIALISTS OF PA LLCAs reported in NPPES

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

Authorized official

Name

Teresa Leonarda Ciaccio

Title

Chief Operating Officer

Phone

(516) 993-8666

Specialties & licenses 2

Addresses

Other names 1

• Quarryville Family Foot Care Doing business as

Part of

Integrated Foot and Ankle Specialists of PA LLC

Locations

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1629834767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S 16TH ST FL 17",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 FITE WAY",
            "city": "QUARRYVILLE",
            "state": "PA",
            "postal_code": "175669395",
            "telephone_number": "717-786-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED FOOT AND ANKLE SPECIALISTS OF PA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATED FOOT AND ANKLE SPECIALISTS OF PA LLC",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "CIACCIO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "LEONARDA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "516-993-8666"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quarryville Family Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shirley Faye Herr, CRNP
• Jessica Avery Hill, LSW
• David Paul Hoffman, DPT
• Megan Patricia Hollinger
• John F House, RPH
• Qin Ji
• John M Grandizio DC
• Satinder Kaur, BCBA
• Riley Keller, CCC-SLP
• Kristin A Kissling, DPT

• Podiatric Clinic/Center in Quarryville, PA
• Providers in Quarryville, PA by specialty
• Podiatric Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.