Healthcare Provider Details

I. General information

NPI: 1154216802
Provider Name (Legal Business Name): STEPWISE PODIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2730 S VAL VISTA DR STE 187
GILBERT AZ
85295-1684
US

IV. Provider business mailing address

2730 S VAL VISTA DR STE 187
GILBERT AZ
85295-1684
US

V. Phone/Fax

Practice location:
  • Phone: 480-744-8827
  • Fax:
Mailing address:
  • Phone: 480-744-8827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: ANNA KAPUSTINA
Title or Position: OWNER
Credential: DPM
Phone: 480-744-8827