Sporthopedics Physical Therapy, PC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

SPORTHOPEDICS PHYSICAL THERAPY, PC

Practice address

1060 Crater Lake Ave.
Suite a
Medford, OR 97504

Phone

(541) 776-2035

Fax

(541) 776-2036

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Scott P Byrd, P.T.

Title

Physical Therapist Owner

Phone

(541) 776-2035

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Suzanne M Dewilde, MPT

  • Physical Therapist
  • Albany, OR
  • NPI 1679502652
  NPD (past)
• Eric Roger Fogel, P.T.

  • Physical Therapist
  • Sarasota, FL
  • NPI 1861776205
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1083827406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 CRATER LAKE AVE.",
            "address_2": "SUITE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-776-2035",
            "fax_number": "541-776-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 CRATER LAKE AVE.",
            "address_2": "SUITE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-776-2035",
            "fax_number": "541-776-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTHOPEDICS PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST OWNER",
        "authorized_official_telephone_number": "541-776-2035",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUECROSS BLUE SH",
            "identifier": "025186000",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230485",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica A Sperbeck
• Elizabeth Ann Spicer, SLP
• Jacob Spilman
• Susan L Spiva, RD, CDE
• Matthew Spivey
• Taylor Jean Spriggs
• Camille Lorraine Springer
• Cynthia Irene Springer
• Violit B Springford
• Audra Lynne Sprinkle-Moser

• Orthopedic Physical Therapist in Medford, OR
• Providers in Medford, OR by specialty
• Orthopedic Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.