Orthosports Associates, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ORTHOSPORTS ASSOCIATES, LLC

Practice address

430 Fieldstown Rd Ste 104
Gardendale, AL 35071-2485

Phone

(205) 418-1260

NPI assigned

Feb 11, 2019

Organization subpart

Yes

Parent organization

ORTHOSPORTS ASSOCIATES, LLCAs reported in NPPES

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

Authorized official

Name

Lori W Sills

Title

Office Manager

Phone

(205) 939-0447

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Orthosports Associates LLC

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1114483591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 ST. VINCENT'S DRIVE, BLDG 3, STE 403",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35205",
            "telephone_number": "205-939-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 FIELDSTOWN RD STE 104",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712485",
            "telephone_number": "205-418-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOSPORTS ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOSPORTS ASSOCIATES, LLC",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "SILLS",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-939-0447"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127553",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Jefferson Pediatrics
• Olivia Grace Nunnally, PHARM.D.
• Erin G Obed, PT
• Lynne Ashley Obiaka, MD
• Orthosports Associates, LLC
• James Gregory Osborne
• Erin Otts
• Ragan Overby, CRNP
• P4 Physical Therapy - Gardendale, LLC
• Ramone Alize Paradise

• Orthopaedic Surgery Physician in Gardendale, AL
• Providers in Gardendale, AL by specialty
• Orthopaedic Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.