Organization Active NPI

Lower Cape Podiatry, LLC

  • Foot & Ankle Surgery Podiatrist
  • Brewster, MA
National Provider Identifier
1962364943
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
LOWER CAPE PODIATRY, LLC
Practice address
4 Granite State CT
Brewster, MA 02631-2127
Phone
(508) 255-1100
NPI assigned
Nov 28, 2025
Last updated
Nov 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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

Authorized official

Name
Mrs. Jordan McNeill, DPMNPI 1821728247
Title
Owner
Phone
(508) 255-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

4 Granite State CT
Brewster, MA 02631-2127

Mailing address

4 Granite State CT
Brewster, MA 02631-2127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260619000697 MA Part B Supplier - Clinic/Group Practice 2062984131 Receives reassigned benefits from 1 practitioner
Practice locations: Brewster, MA

National Provider Directory

National Provider Directory

Locations

4 Granite State Ct
Brewster, MA 02631
Phone (508) 225-1100

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1764288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764288000000",
    "number": "1962364943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GRANITE STATE CT",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026312127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GRANITE STATE CT",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026312127",
            "telephone_number": "508-255-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER CAPE PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-28",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A",
        "authorized_official_last_name": "MCNEILL",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-255-1100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.