NPIMap

Organization Active NPI

The Orthopaedic Institute, PA

  • Orthopaedic Surgery Physician
  • Fort Lauderdale, FL
National Provider Identifier
1104501022
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
THE ORTHOPAEDIC INSTITUTE, PA
Practice address
5400 N Federal Hwy Ste 102
Fort Lauderdale, FL 33308-3203
Phone
(352) 336-6000
NPI assigned
Jun 19, 2023
Organization subpart
Yes
Parent organization
THE ORTHOPAEDIC INSTITUTE, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Jolie Herren
Title
Manager
Phone
(352) 336-6000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

5400 N Federal Hwy Ste 102
Fort Lauderdale, FL 33308-3203

Mailing address

4500 Newberry Rd
Gainesville, FL 32607-2245
Phone (352) 336-6000

Other names 1

  • Orthopedic Specialty Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240313003570 FL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 2860385242 Practice locations: Ft Lauderdale, FL

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
The Orthopaedic Center14 organizations share this tax ID, including this one
Part of
The Orthopaedic Center

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

5400 N Federal Hwy
Ste 103
Ft Lauderdale, FL 33308
Phone (954) 202-9709

5400 N Federal Hwy
Ste 104
Ft Lauderdale, FL 33308

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 113

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

View all 113

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1104501022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072245",
            "telephone_number": "352-336-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 N FEDERAL HWY STE 102",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083203",
            "telephone_number": "352-336-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ORTHOPAEDIC INSTITUTE, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE ORTHOPAEDIC INSTITUTE, PA",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "HERREN",
        "authorized_official_first_name": "JOLIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-336-6000"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic Specialty Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.