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Tackle Management Corporation

Foot & Ankle Surgery Podiatrist in Manassas, VA · enumerated 2007 · authorized official Theresa Coates, Practice Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033399688

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Registry record

Entity type Organization (Type 2)
Legal business name Tackle Management Corporation
Other name <Unavail>
Practice address 8637 Mathis Ave, Manassas, VA, 20110
Phone (703) 335-6890
Enumeration date Nov 13, 2007
Last updated in NPPES Nov 13, 2007

Taxonomy & classification

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers Primary

Authorized official

Name Theresa Coates
Title Practice Administrator
Phone (703) 368-1800

Other identifiers

Identifier Type State Issuer
296209 Other VA ANTHEM

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Tackle Management Corporation?
Tackle Management Corporation is registered in NPPES as a Foot & Ankle Surgery Podiatrist (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-13.