NPIMap

Organization Active NPI

Ortho Sport & Spine Physicians Rome

  • Physical Medicine & Rehabilitation Physician
  • Rome, GA
National Provider Identifier
1104796291
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ORTHO SPORT & SPINE PHYSICIANS ROME
Practice address
400 N 5TH Ave
Rome, GA 30165
Phone
(800) 678-4611
NPI assigned
Nov 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Faith A Beltzhoover
Title
RCM Director
Phone
(678) 752-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

400 N 5TH Ave
Rome, GA 30165

Mailing address

5788 Roswell Rd
Atlanta, GA 30328-4904
Phone (800) 678-4611

National Provider Directory

National Provider Directory
Tax ID family
Ortho Sport and Spine Physicians Pooler35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

Locations

400 N 5th Ave SW
Rome, GA 30165
Phone (762) 470-0939

NPI Registry JSON

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1104796291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5788 ROSWELL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284904",
            "telephone_number": "800-678-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N 5TH AVE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "30165",
            "telephone_number": "800-678-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO SPORT & SPINE PHYSICIANS ROME",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "BELTZHOOVER",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "RCM DIRECTOR",
        "authorized_official_telephone_number": "678-752-7246"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.