Pennsylvania Spine to Foot Pain Specialists Gp
NPI 1972166940 · Foot & Ankle Surgery Podiatrist · Philadelphia, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pennsylvania Spine to Foot Pain Specialists Gp is a Foot & Ankle Surgery Podiatrist organization in Philadelphia, PA (NPI 1972166940).
Provider details
- NPI number
- 1972166940
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Alyssa Piccillo, Partner(570) 417-4755
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
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
Additional practice locations (3)
- 163 N Commerce WayBethlehem, PA 18017-8933Phone: (267) 909-9594Fax: (267) 367-5559
- 443 Mill StBristol, PA 19007-4801Phone: (267) 909-9594Fax: (267) 367-5559
- 1 Brown St Ste CPhiladelphia, PA 19123-3361Phone: (267) 909-9594Fax: (267) 367-5559
Registry dates
- Enumerated
- 2019-04-16
- Last updated
- 2022-06-02
- Certified
- 2022-06-02
Frequently asked questions
- What is Pennsylvania Spine to Foot Pain Specialists Gp's NPI number?
- Pennsylvania Spine to Foot Pain Specialists Gp's National Provider Identifier (NPI) is 1972166940, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pennsylvania Spine to Foot Pain Specialists Gp?
- Pennsylvania Spine to Foot Pain Specialists Gp is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Pennsylvania Spine to Foot Pain Specialists Gp located?
- Pennsylvania Spine to Foot Pain Specialists Gp's practice location on file with NPPES is 500 Fairmount Ave Fl 1, Philadelphia, PA 19123-2890.
- What is Pennsylvania Spine to Foot Pain Specialists Gp's phone number?
- The practice phone number listed in the NPPES registry for Pennsylvania Spine to Foot Pain Specialists Gp is (267) 909-9594.
- Does Pennsylvania Spine to Foot Pain Specialists Gp accept Medicare?
- Pennsylvania Spine to Foot Pain Specialists Gp 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 Pennsylvania Spine to Foot Pain Specialists Gp?
- The authorized official listed on Pennsylvania Spine to Foot Pain Specialists Gp's NPPES record is Alyssa Piccillo, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pennsylvania Spine to Foot Pain Specialists Gp's NPI active?
- Yes — Pennsylvania Spine to Foot Pain Specialists Gp's NPI (1972166940) is active in the NPPES registry as of the last update on 2022-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.