NPIMap

Organization Active NPI

Sarasota Orthopedic Associates LLC

  • Orthopaedic Surgery Physician
  • Nokomis, FL
National Provider Identifier
1013976422
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SARASOTA ORTHOPEDIC ASSOCIATES LLC
Practice address
5504 Pinebrook Rd Ste 201
Nokomis, FL 34275-3745
Phone
(941) 552-3318
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Burkett Mather, CPA
Title
Cfo
Phone
(941) 552-3318

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Orthopaedic Hand Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0106X
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X
Clinic/Center 261Q00000X

Addresses

Primary practice location

5504 Pinebrook Rd Ste 201
Nokomis, FL 34275-3745

Mailing address

5741 Bee Ridge Rd Ste 400
Sarasota, FL 34233-5062
Phone (941) 951-2663

Other practice location 1

5985 Silver Falls Run Ste 100
Bradenton, FL 34211-1291
Phone (941) 552-3318

Other practice location 2

5741 Bee Ridge Rd Ste 450
Sarasota, FL 34233-5081
Phone (941) 951-2663

Other identifiers 1

IdentifierTypeStateIssuer
061701600MedicaidFL

Other names 1

  • 360 Orthopedics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040427000792 FL Part B Supplier - Clinic/Group Practice 4981691524 Receives reassigned benefits from 33 practitioners
Practice locations: Wauchula, FL; Venice, FL; Sarasota, FL; Bradenton, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2045633Sarasota Orthopedic Associates, LLC5985 Silver Falls Run Suite 101, Bradenton, FL 34211Certificate of waiverAug 16, 2026

National Provider Directory

National Provider Directory

Locations

5504 Pinebrook Rd
Nokomis, FL 34275
Phone (941) 218-6200

6230 University Pkwy
Ste 203
Sarasota, FL 34240
Phone (813) 448-3848

5741 Bee Ridge Rd
Ste 400
Sarasota, FL 34233
Phone (941) 371-6565

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 39

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1013976422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5741 BEE RIDGE RD STE 400",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335062",
            "telephone_number": "941-951-2663",
            "fax_number": "941-957-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 PINEBROOK RD STE 201",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342753745",
            "telephone_number": "941-552-3318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5985 Silver Falls Run Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342111291",
            "country_code": "US",
            "telephone_number": "941-552-3318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5741 Bee Ridge Rd Ste 450",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342335081",
            "country_code": "US",
            "telephone_number": "941-951-2663",
            "fax_number": "941-957-4437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SARASOTA ORTHOPEDIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2024-07-03",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "MATHER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BURKETT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "941-552-3318",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061701600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "360 Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "360 Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nokomis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.