Rebel Foot & Ankle

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

REBEL FOOT & ANKLE

Practice address

1601 Veterans Dr Ste 112
Scottsboro, AL 35769-3743

Phone

(256) 292-7511

Fax

(855) 576-3609

NPI assigned

Nov 18, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Kitterman, DPMNPI 1174811442

Title

DPM

Phone

(256) 292-7511

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JGAHDD

Practitioners 2

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

• Ryan Taylor Kitterman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Scottsboro, AL
  • NPI 1174811442
  Medicare reassignment NPD Authorized official
• Dustin John Grimmett, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Guntersville, AL
  • NPI 1487098166

  Single Specialty

  NPD

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1689499436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 VETERANS DR STE 112",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357693743",
            "telephone_number": "256-292-7511",
            "fax_number": "855-576-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 VETERANS DR STE 112",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357693743",
            "telephone_number": "256-292-7511",
            "fax_number": "855-576-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBEL FOOT & ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "KITTERMAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "256-292-7511",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Publix Alabama, LLC
• Purpose Home Health
• R W Brack P C
• Michael Radder, M.S.
• Damian Roberto Ramirez, DC
• Jessica Rebelo
• Madadi Govind Reddy, M.D.
• V Snehaprabha Reddy, M.D.
• Sara Elizabeth Redmon, MS,CCC-SLP
• Mark A Reece, DDS

• Foot & Ankle Surgery Podiatrist in Scottsboro, AL
• Providers in Scottsboro, AL by specialty
• Foot & Ankle Surgery Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.