OrganizationActive
Manassas Foot Clinic Inc
NPI 1578637633 · Foot & Ankle Surgery Podiatrist · Manassas, VA
Provider details
- NPI number
- 1578637633
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Ricardo Bennett, President(703) 361-3132
- License
- 0103000268 (VA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(90/100 index)
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
8704 Rolling Rd
Manassas, VA 20110-4253
Phone: (703) 361-3132
Fax: (703) 368-0291
Street-level locationGet directions
Mailing address
8704 Rolling Rd
Manassas, VA 20110-4253
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2012-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.