Active NPI
Orthopedic, Sports & Rehabilitation Center, LTD.
- Orthopaedic Surgery Physician
- Rockford, IL
National Provider Identifier
1023218260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | IL | Primary | |
| Physical Medicine & Rehabilitation Physician | 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 DirectoryLocations
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.
-
- Physical Medicine & Rehabilitation Physician
- Rockford, IL
- NPI 1073610051
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.