Active NPI
Physician Advisors LLC
- Orthopaedic Surgery Physician
- Altamonte Springs, FL
National Provider Identifier
1184193161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- PHYSICIAN ADVISORS LLC
- Doing business as
- Physician Advisors LLC
- Practice address
- 660 Palm Springs Dr
Altamonte Springs, FL 32701-7864 - Phone
- (855) 614-7246
- Fax
- (425) 270-3769
- NPI assigned
- Nov 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Monica Johnson
- Title
- Account Manager
- Phone
- (425) 941-1360
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Ambulatory Surgical Clinic/Center | 261QA1903X | |||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
660 Palm Springs Dr
Altamonte Springs, FL 32701-7864
Mailing address
6785 Arroyo Dr
Melbourne, FL 32940-8516
Phone (813) 731-5143
Other practice location 1
1747 Evans Rd Ste 103
Melbourne, FL 32904-3869
Phone (855) 614-7246
Other practice location 2
6785 Arroyo Dr
Melbourne, FL 32940-8516
Phone (813) 731-5143
Other names 3
- Physician Advisors LLC
- Laser Spine Brevard
- Laser Spine Orlando
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Kareo.com |
National Provider Directory
National Provider DirectoryLocations
660 Palm Springs Dr
Altamonte Springs, FL 32701
Phone (855) 614-7246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596499200000",
"number": "1184193161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6785 ARROYO DR",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329408516",
"telephone_number": "813-731-5143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 PALM SPRINGS DR",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327017864",
"telephone_number": "855-614-7246",
"fax_number": "425-270-3769"
}
],
"practiceLocations": [
{
"address_1": "1747 Evans Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329043869",
"country_code": "US",
"telephone_number": "855-614-7246",
"fax_number": "425-270-3769",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6785 Arroyo Dr",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329408516",
"country_code": "US",
"telephone_number": "813-731-5143",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PHYSICIAN ADVISORS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-19",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "MONICA",
"authorized_official_title_or_position": "ACCOUNT MANAGER",
"authorized_official_telephone_number": "425-941-1360",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Kareo.com",
"affiliation": "N",
"endpointDescription": "practice management system",
"address_1": "6785 Arroyo Dr",
"city": "Melbourne",
"state": "FL",
"country_code": "US",
"postal_code": "329408516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Physician Advisors LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Laser Spine Brevard",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Laser Spine Orlando",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.