Active NPI
Origin Medical LLC
- Durable Medical Equipment & Medical Supplies
- West Palm Beach, FL
National Provider Identifier
1043838485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ORIGIN MEDICAL LLC
- Practice address
- 224 Datura St Ste 1309
West Palm Beach, FL 33401-5641 - Phone
- (305) 619-5378
- NPI assigned
- Jul 13, 2020
- 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
- Christopher Spellman
- Title
- Owner
- Phone
- (866) 953-5386
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
224 Datura St Ste 1309
West Palm Beach, FL 33401-5641
Mailing address
224 Datura St Ste 1309
West Palm Beach, FL 33401-5641
Phone (727) 267-8910
National Provider Directory
National Provider DirectoryLocations
224 Datura St
Ste 1309
West Palm Beach, FL 33401
Phone (305) 619-5378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647907200000",
"number": "1043838485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 DATURA ST STE 1309",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334015641",
"telephone_number": "727-267-8910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 DATURA ST STE 1309",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334015641",
"telephone_number": "305-619-5378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORIGIN MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-13",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A",
"authorized_official_last_name": "SPELLMAN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "866-953-5386"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.