ACTIVE FOOT AND ANKLE CARE LLC — NPI 1881872273 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in GREENVILLE, OH)

CMS-1500 Box 24J / 33a • NPI

1881872273

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QP1100X

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

828 CENTRAL AVE, GREENVILLE, OH, 45331-1206

✓ 9-Digit EDI 837 ZIP+4 (45331-1206)

Practice Phone & Referral Fax

(937) 875-2526

Fax: (937) 459-5433

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1881872273 (ACTIVE FOOT AND ANKLE CARE LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1881872273` (NPI-2 Organization / Facility)
Provider / Legal Name	ACTIVE FOOT AND ANKLE CARE LLC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QP1100X` (Clinic/Center, Podiatric)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	828 CENTRAL AVE, GREENVILLE, OH, 45331-1206
Practice Telephone / Fax	Tel: (937) 875-2526 \| Fax: (937) 459-5433
Administrative Mailing Address	300 S DORSET RD, TROY, OH, 45373-2635
Enumeration & Last Sync	Enumerated: 2008-02-07 \| CMS Record Updated: 2014-12-04
Authorized Official	CHAD LIETTE (Office Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

828 CENTRAL AVE, GREENVILLE, OH, 45331-1206

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Plain-English Taxonomy & CMS Crosswalk (261QP1100X)

What Does Taxonomy Code 261QP1100X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QP1100X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ACTIVE FOOT AND ANKLE CARE LLC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QP1100X` — Clinic/Center, Podiatric Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: OH \| License: `36003402` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ACTIVE FOOT AND ANKLE CARE LLC (NPI #1881872273)