Organization Active NPI

Treasure Coast Non-Surgical Orthopedics PLLC

  • Sports Medicine (Family Medicine) Physician
  • Fort Pierce, FL
National Provider Identifier
1083551741
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
TREASURE COAST NON-SURGICAL ORTHOPEDICS PLLC
Practice address
800 Virginia Ave Ste 45
Fort Pierce, FL 34982-5893
Phone
(772) 266-7846
Fax
(561) 510-9738
NPI assigned
Apr 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Dr. Oludare Ogunsola, DONPI 1598911323
Title
Physician Owner and Ceo
Phone
(772) 266-7846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS0010X Primary

Addresses

Primary practice location

800 Virginia Ave Ste 45
Fort Pierce, FL 34982-5893

Mailing address

10380 SW Village Center Dr Ste 148
Port St Lucie, FL 34987-1931
Phone (772) 266-7846

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@treasureortho.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260611004854 FL Part B Supplier - Clinic/Group Practice 1658843420 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Pierce, FL

National Provider Directory

National Provider Directory

Locations

800 Virginia Ave
Ste 45
Fort Pierce, FL 34982
Phone (772) 266-7846

Interoperability endpoints

  • Direct secure messaging: admin@treasureortho.com

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": "1777507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1083551741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10380 SW VILLAGE CENTER DR STE 148",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349871931",
            "telephone_number": "772-266-7846",
            "fax_number": "561-510-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 VIRGINIA AVE STE 45",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825893",
            "telephone_number": "772-266-7846",
            "fax_number": "561-510-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST NON-SURGICAL ORTHOPEDICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "OGUNSOLA",
        "authorized_official_first_name": "OLUDARE",
        "authorized_official_title_or_position": "PHYSICIAN OWNER AND CEO",
        "authorized_official_telephone_number": "772-266-7846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@treasureortho.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "800 Virginia Ave Ste 45",
            "city": "Fort Pierce",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349825893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.