Sarasota Orthopedic Associates LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SARASOTA ORTHOPEDIC ASSOCIATES LLC

Doing business as

360 Orthopedics

Practice address

5504 Pinebrook Rd Ste 201
Nokomis, FL 34275-3745

Phone

(941) 552-3318

NPI assigned

Mar 23, 2006

Last updated

Jul 3, 2024By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• 360 Orthopedics Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Alan Alexsuk, PT

  • Physical Therapist
  • Palm Harbor, FL
  • NPI 1366118531
  Medicare reassignment NPD
• Sheyan J Armaghani, MD

  • Orthopaedic Surgery Physician
  • Lake Mary, FL
  • NPI 1619294329
  Medicare reassignment NPD
• Julie Gladden Barre, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Sarasota, FL
  • NPI 1073739744
  Medicare reassignment NPD
• Trevor R Born, MD

  • Orthopaedic Surgery Physician
  • Sarasota, FL
  • NPI 1730317736
  Medicare reassignment NPD
• Rene S Bourdeau, PT

  • Physical Therapist
  • Sarasota, FL
  • NPI 1346448180
  Medicare reassignment NPD
• Sangeetha Bulusu, OT

  • Occupational Therapist
  • Bradenton, FL
  • NPI 1851626972
  Medicare reassignment NPD
• Michael P Clare, MD

  • Orthopaedic Surgery Physician
  • Sarasota, FL
  • NPI 1376548065
  Medicare reassignment NPD
• Michael Ehlers, PT

  • Physical Therapist
  • Sarasota, FL
  • NPI 1013543586
  Medicare reassignment NPD
• Gregory C Farino, MD

  • Orthopaedic Hand Surgery Physician
  • Bradenton, FL
  • NPI 1598731952

  Orthopaedic Surgery

  Medicare reassignment NPD
• Walter K Furman, MD

  • Orthopaedic Surgery Physician
  • Sarasota, FL
  • NPI 1538101597
  Medicare reassignment NPD
• Jemaar Graham, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lakewood Ranch, FL
  • NPI 1255747705
  Medicare reassignment NPD
• Maggie Lyn Hilton, OT

  • Occupational Therapist
  • Sarasota, FL
  • NPI 1629341235
  Medicare reassignment NPD

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "360 Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "360 Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Dennis Sabo, MS, BCBA
• Deborah Meles Sacks, PH.D.
• Robert J Sacks, DO
• Katelynn Sak
• Teresa Santos, APRN
• Sarasota Pediatric Physical Therapy, Inc
• Sarasota Wellness Group Inc. (Affinity Home Health)
• Gregory Scher
• Penelope Kallis Skopis
• SLC of Sorrento, Inc

• Orthopaedic Surgery Physician in Nokomis, FL
• Providers in Nokomis, FL by specialty
• Orthopaedic Surgery Physician in Florida

• 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.