Nyota Medical Footcare, PLLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

NYOTA MEDICAL FOOTCARE, PLLC

Practice address

140 Wood Rd Ste 305
Braintree, MA 02184-2514

Phone

(857) 246-9393

NPI assigned

Feb 28, 2020

Organization subpart

No

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

Authorized official

Name

Nadege Tan, NP

Title

Managing Member

Phone

(857) 246-9393

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

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

• Latoya Browne

  • Nurse Practitioner
  • Boston, MA
  • NPI 1306450309
  Medicare reassignment
• Kimberly Hartgrove, NP-C, FNP-BC

  • Family Nurse Practitioner
  • Boston, MA
  • NPI 1518385822
  Medicare reassignment

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1760016711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WOOD RD STE 305",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WOOD RD STE 305",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842514",
            "telephone_number": "857-246-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYOTA MEDICAL FOOTCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-28",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "NADEGE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "857-246-9393",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nordstrom Inc & Subsidiaries
• Nutrition for Healing, Inc
• Nutrition for Healing. LLC
• John C Nwachukwu Sr.
• Nyota Advanced Wound Care
• Brendan James O'Boyle, PT
• Shawna O'Brien, OTR/L
• Caitlin O'Connor Thibeault
• Katie E O'Connor, MA, CCC-SLP
• Marlene O'Donnell, RD

• Podiatric Clinic/Center in Braintree, MA
• Providers in Braintree, MA by specialty
• Podiatric Clinic/Center in Massachusetts

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