Orthopedic & Shoulder Center, S.C.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

036092458 Issued in IL

Legal business name

ORTHOPEDIC & SHOULDER CENTER, S.C.

Practice address

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

Phone

(309) 454-1616

Fax

(309) 454-5167

NPI assigned

Dec 22, 2010

Last updated

Apr 21, 2015By 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

Brandi Meisner

Title

Administrator

Phone

(309) 888-9800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 9

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.

• Antonia Jacqueline Abrahamsen, FNP-C

  • Family Nurse Practitioner
  • Bloomington, IL
  • NPI 1720532005
  Medicare reassignment Care Compare group NPD
• Traci Kissinger, PT

  • Physical Therapist
  • Normal, IL
  • NPI 1134529555
  Medicare reassignment Care Compare group NPD
• Nathaniel Gage Lyons, PT, DPT

  • Physical Therapist
  • Normal, IL
  • NPI 1942598214
  Medicare reassignment Care Compare group NPD
• Olivia Markert, OTR/L

  • Occupational Therapist
  • Normal, IL
  • NPI 1902772635
  Medicare reassignment Care Compare group NPD
• Jason N Richards, OT

  • Occupational Therapist
  • Normal, IL
  • NPI 1003163379
  Medicare reassignment Care Compare group NPD
• Sylvia M Smiser, PT

  • Physical Therapist
  • Pontiac, IL
  • NPI 1659400026
  Medicare reassignment Care Compare group NPD
• Rachel Maxwell, CNP

  • Family Nurse Practitioner
  • Bloomington, IL
  • NPI 1659632958
  Medicare reassignment NPD
• Christopher Bobrosky, OT

  • Occupational Therapist
  • Normal, IL
  • NPI 1467964981
  NPD
• Alyssa Chestnut

  • Occupational Therapist
  • Lansing, MI
  • NPI 1346052263
  NPD

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1437453073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 FORT JESSE ROAD",
            "address_2": "SUITE 250",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "61761",
            "telephone_number": "309-888-9800",
            "fax_number": "309-828-9700"
        },
        {
            "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",
            "fax_number": "309-454-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SHOULDER CENTER, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "MEISNER",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "309-888-9800"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036092458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Occupational Development Center
• Jessica Ashley Olson, APN, FNP-C
• One to One Health (Rivian Onsite Medical Clinic)
• Anand Oroskar, M.D.
• Irene Ortega, MSW, LSW
• Orthopedic & Sports Medicine Center
• 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.

• Orthopaedic Surgery Physician in Normal, IL
• Providers in Normal, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.