NPIMap

Organization Active NPI

Orthopedic & Sports Physical Therapy Center LLC

  • Physical Therapist
  • Navarre, FL
National Provider Identifier
1437277308
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ORTHOPEDIC & SPORTS PHYSICAL THERAPY CENTER LLC
Practice address
7552 Navarre Pkwy
Suite 32
Navarre, FL 32566-7305
Phone
(850) 939-4913
Fax
(850) 939-4915
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Ms. Nicole Sheppard
Title
Practice Administrator
Phone
(850) 897-3334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

7552 Navarre Pkwy
Suite 32
Navarre, FL 32566-7305

Mailing address

1950 Bluewater Blvd
Suite 101
Niceville, FL 32578-3887
Phone (850) 897-3334

Other identifiers 2

IdentifierTypeStateIssuer
8913153MedicaidFL
PENDINGOtherFLBCBS GRP # PENDING

National Provider Directory

National Provider Directory
Tax ID family
Orthopedic and Sports Physical Therapy C4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1437277308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 BLUEWATER BLVD",
            "address_2": "SUITE 101",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783887",
            "telephone_number": "850-897-3334",
            "fax_number": "850-897-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7552 NAVARRE PKWY",
            "address_2": "SUITE 32",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667305",
            "telephone_number": "850-939-4913",
            "fax_number": "850-939-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPORTS PHYSICAL THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "850-897-3334",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913153",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP # PENDING",
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.