In Step Foot and Ankle

What In Step Foot and Ankle does

In Step Foot and Ankle, LLC is a private podiatric medical practice founded in 1999 by Dr. Thomas J. Cusumano, D.P.M., operating from two office locations in northern New Jersey — Westwood (headquarters at 59A Kinderkamack Road) and Fair Lawn (26-06 Broadway). The practice provides comprehensive conservative and surgical care for foot and ankle conditions, serving adults, children, athletes, and diabetic patients. Clinical capabilities include Extracorporeal Shockwave Therapy (ESWT) for chronic plantar fasciitis (offered by Dr. Cusumano since 2002 with reported 85-90% success), Pulse Dye Laser treatment for resistant warts via the Pascack Valley Hospital Laser Center (80-95% reported success), custom orthotics fabrication (rigid, soft, and semi-rigid varieties), wound care, sports medicine, and arthroscopy. Dr. Cusumano holds surgical privileges at four hospitals — Hackensack University Medical Center, Pascack Valley Hospital, St. Joseph's Regional Medical Center, and St. Mary's Hospital — and has served as team physician for the NJ Imperials (professional soccer), NJ Jackals (professional baseball), NJ Gladiators (football), Farleigh Dickinson University, and Montclair State University athletic departments.

The business operates on a professional services revenue model with two streams: in-office consultation, diagnostic, and treatment fees billed through insurance (HMOs, PPOs, health plans) and self-pay arrangements, and a hardware/retail stream from sale of custom orthotics, ankle braces, heat-adjustable insoles, and diabetic foot care products through an online storefront. Pricing is not publicly disclosed and patients are advised to contact the office to verify insurance acceptance. Go-to-market is sales-led through physician referrals, local SEO-optimized website presence, educational content (articles, blog, Vimeo-hosted video library), and active management of reviews across Google, Yelp, Yahoo, Merchant Circle, Insider Pages, and Kudzu. The practice accepts online appointment requests and uses email for patient communication. Distribution is entirely domestic (single country), restricted to the New Jersey market via the two physical offices plus an e-commerce storefront.

Ownership is concentrated with the founding physician; the entity is an LLC with no parent company, no institutional investors, no venture capital backing, and no disclosed funding rounds. Headcount is reported in the 11-50 band, consistent with a solo-physician practice supported by clinical and administrative staff. The practice has no disclosed patents, trademarks, regulatory actions, or M&A activity, and holds no AI/ML capabilities or technology integrations beyond its clinical equipment.

Name

In Step Foot and Ankle

Legal name

In Step Foot and Ankle, LLC

Website

https://instepspecialists.net

Company type

Private

Founded year

1999

Operating status

Operating

Headcount range

11–50 employees

Short description

In Step Foot and Ankle is a private New Jersey podiatric medical practice founded in 1999, operating from Westwood and Fair Lawn offices and providing conservative and surgical foot and ankle care — including ESWT, Pulse Dye Laser, and custom orthotics — to athletes, diabetics, adults, and children.

Ownership category

akta.pro rank

Product category

Podiatric Medical Services

NAICS

Offices of Podiatrists (621391), Shoe Retailers (458210)

SIC

Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842), Retail-Shoe Stores (5661)

akta.pro primary industry

Foot & Ankle (HLAKALAG)

akta.pro secondary industries

Podiatry & Foot/Ankle Surgery Centers (HLAFAIAL), Comfort, Orthopedic & Medical Footwear Retail (CRAAADAG)

Keywords

• Podiatric medical services
• Foot and ankle care
• Custom orthotics
• Diabetic foot care
• Sports medicine podiatry

Headquarters

HQ city

Westwood

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D

Revenue model

1. Podiatric Medical Services: Revenue generated from comprehensive foot and ankle medical services including consultations, examinations, diagnostic procedures, conservative treatments, and surgical interventions. Services are provided to patients with insurance coverage (HMOs, PPOs, health plans) as well as self-pay patients.
2. Medical Products (Orthotics, Ankle Braces): Sale of foot health products including custom orthotics, ankle braces, heat adjustable flexible insoles, and specialized footwear products for diabetic foot care. Products available both in-office and through online store.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels6 records

Core offering

In Step Foot and Ankle is a podiatric medical practice that diagnoses and treats foot and ankle conditions through in-office clinical services, advanced non-invasive and surgical procedures (including ESWT and Pulse Dye Laser therapy), and custom-fabricated orthotics, ankle braces, and footwear products. The practice serves athletes, diabetic patients, adults, and children across two New Jersey locations, accepting insurance and self-pay patients.

Product overview

In Step Foot and Ankle, LLC is a state-of-the-art podiatric medical practice offering a combination of clinical treatments and medical devices. The practice provides specialized medical treatments including Extracorporeal Shockwave Therapy (ESWT) for plantar fasciitis and Pulse Dye Laser for wart removal, alongside custom-fitted medical devices including orthotics, ankle braces, and heat-adjustable insoles. The practice also offers comprehensive podiatric services for conditions such as bunions, hammertoes, heel pain, flat feet, diabetic foot care, and sports medicine. The product portfolio combines in-office procedures with retail medical devices for ongoing patient care.

Differentiator

Problem solved

Functional benefit

Products and services

• General Podiatric Services Comprehensive foot and ankle care covering Achilles tendon conditions, bunions, hammertoes, heel pain, flat feet, diabetic foot care, sports medicine, trauma, arthroscopy, and wound care for adults and children.
• Extracorporeal Shockwave Therapy (ESWT) FDA-approved non-invasive treatment for chronic plantar fasciitis and heel pain that uses focused shockwaves to stimulate healing, encourage revascularization, and reduce pain without surgery.
• Pulse Dye Laser for Warts

Named customers3 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Nine partnerships are on record, tiered minor and core.

• Hackensack University Medical CenterminorOthersDr. Cusumano maintains hospital privileges at Hackensack University Medical Center for performing surgical procedures requiring hospital facilities.
• Pascack Valley HospitalminorOthersDr. Cusumano maintains hospital privileges at Pascack Valley Hospital in Westwood. The hospital houses the Laser Center where Dr. Cusumano performs Pulse Dye Laser treatments for warts.
• St. Joseph's Regional Medical CenterminorOthersDr. Cusumano maintains hospital privileges at St. Joseph's Regional Medical Center in Paterson for surgical procedures.
• St. Mary's HospitalminorOthersDr. Cusumano maintains hospital privileges at St. Mary's Hospital in Hoboken for surgical procedures.
• Meadowlands Hospital Medical CentercoreStrategic or Co-development PartnerDr. Cusumano completed two years of surgical reconstructive foot and ankle training as chief resident at Meadowlands Hospital Medical Center in Secaucus, NJ. This training included forefoot, rearfoot, ankle, leg and soft tissue surgery including diabetic limb salvage, trauma, and pathologic foot reconstruction.
• New Jersey Jackals (Professional Baseball)minorStrategic or Co-development PartnerDr. Cusumano served as team physician for the NJ Jackals professional baseball team, providing athletic injury prevention and treatment services.
• New Jersey Imperials (Professional Soccer)minorStrategic or Co-development PartnerDr. Cusumano served as team physician for the NJ Imperials professional soccer team, providing athletic injury prevention and treatment services.
• Farleigh Dickinson UniversityminorStrategic or Co-development PartnerSince 1999, Dr. Cusumano has served the athletic department at Farleigh Dickinson University (Teaneck, NJ) for athletic injury prevention and treatment.
• Montclair State UniversityminorStrategic or Co-development PartnerSince 1999, Dr. Cusumano has served the athletic department at Montclair State University (Upper Montclair, NJ) for athletic injury prevention and treatment.

Scale indicators4 records

Recent moves6 records

Expansion highlights4 records

Direct peers

• Podiatry Associates: Multi-provider podiatry practice group offering foot and ankle care, surgery, orthotics, and wound care. Comparable multi-physician specialty podiatry model with similar patient segments.
• Weil Foot & Ankle Institute: Established multi-provider podiatry practice in the Chicago/Midwest region offering conservative and surgical foot/ankle care, custom orthotics, and diabetic wound care. Closely comparable multi-physician specialty podiatry model with hospital affiliations.
• Affiliated Foot & Ankle Centers: New Jersey-based podiatry practice offering conservative and surgical foot/ankle care, custom orthotics, and diabetic foot services. Closest same-state, similar-scale peer for In Step Foot and Ankle.
• University Foot & Ankle Institute: Specialty podiatry practice offering advanced foot and ankle care including sports medicine, orthotics, and diabetic foot services. Comparable clinical scope and emphasis on specialty procedures for a similar patient demographic.

Emerging players

• Modern Foot & Ankle: Growth-stage Florida-based podiatry practice chain offering foot and ankle care, surgery, and orthotics. Comparable in clinical offerings to In Step but operating in a different geography under a clinic-brand rollout model.

Broad incumbents

• Hanger Clinic: National orthotics and prosthetics provider (Hanger, Inc.). Comparable in the orthotics/brace product line In Step sells, but operates in O&P at much larger scale rather than as a clinical podiatry practice.
• Upperline Health: Multi-state podiatry practice platform providing comprehensive foot and ankle care including diabetic limb salvage and surgical services. Comparable clinical mix and patient segments, but operates at enterprise scale with multiple physician partners.
• Foot & Ankle Specialists of the Mid-Atlantic (FASMA): Largest podiatry group on the U.S. East Coast with dozens of locations across multiple states. Comparable in clinical scope (foot/ankle surgery, orthotics, diabetic care) but a regional roll-up rather than a single small practice.
• US Foot & Ankle Specialists: Large PE-backed multi-state podiatry platform founded in Indianapolis. Comparable as a multi-location podiatry practice offering conservative and surgical foot/ankle care, orthotics, and diabetic foot services — but at vastly greater scale.

Regional players

• Northeast Foot and Ankle: Regional multi-location podiatry group in the Northeast U.S. offering conservative and surgical foot/ankle care, sports medicine, and orthotics. Closely comparable geographic and clinical profile to In Step Foot and Ankle.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat3 records

Key risks5 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/InStepSpecialists

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about In Step Foot and Ankle