Orthopedic & Sports Medicine Center

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

042-616684 Issued in IL

Legal business name

ORTHOPEDIC & SPORTS MEDICINE CENTER

Practice address

2200 Fort Jesse Rd Ste 250
Normal, IL 61761-6290

Phone

(309) 454-1616

NPI assigned

Sep 29, 2006

Last updated

Nov 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregg Chadwick

Title

Chief Operating Officer

Phone

(309) 454-1616

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lawrence K.C. Li, M.D.

  • Orthopaedic Surgery Physician
  • Normal, IL
  • NPI 1164419818
  NPD

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1366534083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 FORT JESSE RD STE 250",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FORT JESSE RD STE 250",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616290",
            "telephone_number": "309-454-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPORTS MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "CHADWICK",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "309-454-1616"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "042-616684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ashley Olson, APN, FNP-C
• One to One Health (Rivian Onsite Medical Clinic)
• Anand Oroskar, M.D.
• Irene Ortega, MSW, LSW
• Orthopedic & Shoulder Center, S.C.
• Orthopedic & Sports Medicine Center
• Orthopedics of Illinois - the Bone Joint and Sports Medicine Center S (Ortho Illinois)
• Orthopedics of Illinois - the Bone, Joint, and Sports Medicine Center
• Orthoworks, S.C.
• Lori A. Osborne, MSW, LCSW

• Physical Medicine & Rehabilitation Physician in Normal, IL
• Providers in Normal, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.