OrganizationActive
Northwest Foot and Ankle Center, Ps
NPI 1790963866 · Podiatrist · Puyallup, WA
Northwest Foot and Ankle Center, Ps is a Podiatrist organization in Puyallup, WA (NPI 1790963866).
Provider details
- NPI number
- 1790963866
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Matt Roth, Office Manager(425) 277-3668
- License
- PO00000660 (WA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
11212 Sunrise Blvd E
Suite 203
Puyallup, WA 98374-8847
Phone: (253) 841-4262
Fax: (253) 841-7112
Street-level locationGet directions
Mailing address
11212 Sunrise Blvd E
Puyallup, WA 98374-8847
Other names (DBA / former)
- Other name
- Mark Lewis
- Other name
- Mark Lewis
Registry dates
- Enumerated
- 2008-01-31
- Last updated
- 2021-07-28
- Certified
- 2021-07-28
Frequently asked questions
- What is Northwest Foot and Ankle Center, Ps's NPI number?
- Northwest Foot and Ankle Center, Ps's National Provider Identifier (NPI) is 1790963866, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northwest Foot and Ankle Center, Ps?
- Northwest Foot and Ankle Center, Ps is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Northwest Foot and Ankle Center, Ps located?
- Northwest Foot and Ankle Center, Ps's practice location on file with NPPES is 11212 Sunrise Blvd E, Puyallup, WA 98374-8847.
- What is Northwest Foot and Ankle Center, Ps's phone number?
- The practice phone number listed in the NPPES registry for Northwest Foot and Ankle Center, Ps is (253) 841-4262.
- Who is the authorized official for Northwest Foot and Ankle Center, Ps?
- The authorized official listed on Northwest Foot and Ankle Center, Ps's NPPES record is Matt Roth, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northwest Foot and Ankle Center, Ps's NPI active?
- Yes — Northwest Foot and Ankle Center, Ps's NPI (1790963866) is active in the NPPES registry as of the last update on 2021-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.