Organization Active NPI

Origin Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • West Palm Beach, FL
National Provider Identifier
1043838485
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Mar 22, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.