NPIMap

Organization Active NPI

Orthopedic Center of Palm Beach County, LLC

  • Specialist
  • Atlantis, FL
National Provider Identifier
1114079738
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ORTHOPEDIC CENTER OF PALM BEACH COUNTY, LLC
Practice address
180 JFK Dr
Ste 100
Atlantis, FL 33462-6641
Phone
(561) 967-6500
Fax
(561) 472-0467
NPI assigned
Jan 16, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Christina Martinez
Title
Operations
Phone
(561) 967-6500

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 1

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

Practitioners 108

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

View all 108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040623000552 FL Part B Supplier - Clinic/Group Practice 7315922309 Receives reassigned benefits from 66 practitioners
3 other NPIs on this enrollment
Practice locations: Wellington, FL; Boynton Beach, FL; Boca Raton, FL; Atlantis, FL
O20160503000172 FL DME Supplier - Multi-Specialty - Physician 7315922309 Practice locations: Atlantis, FL

National Provider Directory

National Provider Directory

Locations

10275 Hagen Ranch Rd
Ste 100
Boynton Beach, FL 33437
Phone (561) 300-1400

180 John F Kennedy Dr
Ste 100
Lake Worth, FL 33462

1221 S State Road 7
Ste 200
Wellington, FL 33414
Phone (561) 697-6500

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

NPPES NPI Registry

Primary practice location

180 JFK Dr
Ste 100
Atlantis, FL 33462-6641

Mailing address

180 JFK Dr
Ste 100
Atlantis, FL 33462-6641
Phone (561) 967-6500

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0360093700MedicaidFL

Other names 1

NPPES NPI Registry
  • Sports and Orthopedic Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 12, 2025.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1114079738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 JFK DR",
            "address_2": "STE 100",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626641",
            "telephone_number": "561-967-6500",
            "fax_number": "561-472-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 JFK DR",
            "address_2": "STE 100",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626641",
            "telephone_number": "561-967-6500",
            "fax_number": "561-472-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC CENTER OF PALM BEACH COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "561-967-6500"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360093700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports and Orthopedic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlantis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.