Wolf River Family Footcare PLLC
NPI 1457480683 · Foot & Ankle Surgery Podiatrist · Bartlett, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wolf River Family Footcare PLLC is a Foot & Ankle Surgery Podiatrist organization in Bartlett, TN (NPI 1457480683).
Provider details
- NPI number
- 1457480683
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Carl Siciliano, Owner Sole Member(901) 381-2800
- License
- DPM0000000422 (TN)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2008-06-05
Frequently asked questions
- What is Wolf River Family Footcare PLLC's NPI number?
- Wolf River Family Footcare PLLC's National Provider Identifier (NPI) is 1457480683, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wolf River Family Footcare PLLC?
- Wolf River Family Footcare PLLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Wolf River Family Footcare PLLC located?
- Wolf River Family Footcare PLLC's practice location on file with NPPES is 7424 US Highway 64, Bartlett, TN 38133-3986.
- What is Wolf River Family Footcare PLLC's phone number?
- The practice phone number listed in the NPPES registry for Wolf River Family Footcare PLLC is (901) 381-2800.
- Does Wolf River Family Footcare PLLC accept Medicare?
- Wolf River Family Footcare PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wolf River Family Footcare PLLC?
- The authorized official listed on Wolf River Family Footcare PLLC's NPPES record is Carl Siciliano, Owner Sole Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wolf River Family Footcare PLLC's NPI active?
- Yes — Wolf River Family Footcare PLLC's NPI (1457480683) is active in the NPPES registry as of the last update on 2008-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.