Organization Active NPI

Orthopedic, Sports & Rehabilitation Center, LTD.

  • Orthopaedic Surgery Physician
  • Rockford, IL
National Provider Identifier
1023218260
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPEDIC, SPORTS & REHABILITATION CENTER, LTD.
Practice address
6957 Olde Creek Rd
Suite #3400
Rockford, IL 61114-7416
Phone
(815) 397-6276
Fax
(815) 397-2266
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Tara Nigam, M.D.
Title
Owner
Phone
(815) 397-6276

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X IL Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X IL

Addresses

Primary practice location

6957 Olde Creek Rd
Suite #3400
Rockford, IL 61114-7416

Mailing address

6957 Olde Creek Rd
Suite #3400
Rockford, IL 61114-7416
Phone (815) 397-6276

National Provider Directory

National Provider Directory

Locations

6957 Olde CRK Rd
Ste 3400
Rockford, IL 61114
Phone (815) 397-6276

6957 Olde CRK Rd Ste 3400
Ste 3400
Rockford, IL 61114
Phone (815) 397-6276

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1023218260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6957 OLDE CREEK RD",
            "address_2": "SUITE #3400",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611147416",
            "telephone_number": "815-397-6276",
            "fax_number": "815-397-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6957 OLDE CREEK RD",
            "address_2": "SUITE #3400",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611147416",
            "telephone_number": "815-397-6276",
            "fax_number": "815-397-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC, SPORTS & REHABILITATION CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "NIGAM",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-397-6276",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.