Sport & Spine, Inc.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

25792 Issued in CA

Legal business name

SPORT & SPINE, INC.

Practice address

9121 Atlanta Ave
# 532
Huntington Beach, CA 92646-6309

Phone

(714) 609-7966

NPI assigned

Jan 12, 2009

Organization subpart

No

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

Authorized official

Name

Greg Rothstein

Title

Secretary

Phone

(714) 609-7966

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1407093552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 ATLANTA AVE",
            "address_2": "# 532",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926466309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 ATLANTA AVE",
            "address_2": "# 532",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926466309",
            "telephone_number": "714-609-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT & SPINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "ROTHSTEIN",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "714-609-7966"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "25792",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "25792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Sperring, LMFT
• Spinal Iq LLC
• Spinal-Iq Pro Inc
• Spinecare USA Corporation
• Rachael Spohn
• Sportpharm Pharmaceuticals, Inc.
• Barbara Lynn Sprayregen, PSYD
• Franziska Spritzler, R.D., C.D.E
• Kristina Srzentic
• Akila Sscott

• Sports Physician Chiropractor in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.