Active NPI
Central City Orthopedic and Spine, LLC.
- Physical Therapy Clinic/Center
- Phoenix, AZ
National Provider Identifier
1194645853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- CENTRAL CITY ORTHOPEDIC AND SPINE, LLC.
- Practice address
- 515 W Buckeye Rd Ste 304
Phoenix, AZ 85003-2693 - Phone
- (480) 257-1971
- NPI assigned
- Jul 21, 2026
- 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
- Dr. Sal J Pellegrino, DC
- Title
- Owner/MGNT Member
- Phone
- (954) 658-0064
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Primary | ||
| Pain Clinic/Center | 261QP3300X |
Addresses
Primary practice location
515 W Buckeye Rd Ste 304
Phoenix, AZ 85003-2693
Mailing address
21722 Fall River Dr
Boca Raton, FL 33428-4818
Phone (480) 257-1971
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784592000000",
"number": "1194645853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21722 FALL RIVER DR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334284818",
"telephone_number": "480-257-1971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 W BUCKEYE RD STE 304",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850032693",
"telephone_number": "480-257-1971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL CITY ORTHOPEDIC AND SPINE, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-21",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A",
"authorized_official_last_name": "PELLEGRINO",
"authorized_official_first_name": "SAL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER/MGNT MEMBER",
"authorized_official_telephone_number": "954-658-0064",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Central Arizona Surgical Center
- Central Arizona Urologists, LTD
- Central Avenue Specialty, PLLC.
- Central Az Special Services, Inc
- Central Az Transportation & Travel
- Central Clinical Labs Incorporated
- Central Home Health Services Inc.
- Central Home Health Services Inc.
- Central Medical Group PLLC
- Central Medical Laboratory, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.