Ortho Sport & Spine Physicians of Missouri, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ORTHO SPORT & SPINE PHYSICIANS OF MISSOURI, LLC

Practice address

450 N New Ballas Rd
Creve Coeur, MO 63141-6859

Phone

(314) 390-0135

NPI assigned

Nov 14, 2022

Organization subpart

No

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

Authorized official

Name

Faith Beltzhoover

Title

Revenue Cycle Management Director

Phone

(678) 752-7246

Specialties & licenses 1

Addresses

Tax ID family

Ortho Sport and Spine Physicians St Louis3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Ortho Sport & Spine Physicians Independence

  • Physical Medicine & Rehabilitation Physician
  • Independence, MO
  • NPI 1720809866
  NPD tax ID
• Ortho Sport and Spine Physicians St. Louis

  • Physical Medicine & Rehabilitation Physician
  • Creve Coeur, MO
  • NPI 1558950337
  NPD tax ID

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1144938614",
    "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": "678-752-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N NEW BALLAS RD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416859",
            "telephone_number": "314-390-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO SPORT & SPINE PHYSICIANS OF MISSOURI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "BELTZHOOVER",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGEMENT 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": []
}

• Oral and Maxillofacial Surgeons Inc
• Nwamaka Ifeyinwa Orji
• Paul O Orji
• Matthew J Orland, MD
• Ortho Missouri, LLC
• Ortho Sport and Spine Physicians St. Louis
• Orthopedic Ambulatory Surgery Center of Chesterfield, LLC
• Orthotic and Prosthetic Lab, Inc
• Huntington Overley, D.C.
• Thierry Papazian, DMD

• Physical Medicine & Rehabilitation Physician in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Physical Medicine & Rehabilitation Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.