Active NPI
Specialty Orthopaedics and Sports Medicine, LLC
Doing business as SpecOrtho
- Orthopaedic Surgery Physician
- Fort Mill, SC
National Provider Identifier
1437684453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- SPECIALTY ORTHOPAEDICS AND SPORTS MEDICINE, LLC
- Doing business as
- SpecOrtho
- Practice address
- 130 Crisanto Avenue
Suite B
Fort Mill, SC 29715 - Phone
- (803) 548-6464
- Fax
- (803) 396-8440
- NPI assigned
- Apr 27, 2017
- Last updated
- Jul 24, 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. Glen T Feltham, M.D.
- Title
- Owner, Physician
- Phone
- (570) 452-0097
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | |||
| Podiatrist | 213E00000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | |||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
130 Crisanto Avenue
Suite B
Fort Mill, SC 29715
Mailing address
130 Crisanto Avenue
Suite B
Fort Mill, SC 29715
Phone (803) 548-6464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G842 | Medicaid | SC |
Other names 1
- SpecOrtho
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
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.
-
- Orthopaedic Surgery Physician
- Fort Mill, SC
- NPI 1194716381
-
- Foot & Ankle Surgery Podiatrist
- Fort Mill, SC
- NPI 1326626144
-
- Orthopaedic Surgery Physician
- Fort Mill, SC
- NPI 1366857849
-
- Orthopaedic Surgery Physician
- Fort Mill, SC
- NPI 1538137724
-
- Athletic Trainer
- Fort Mill, SC
- NPI 1487062550
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1558676692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784851200000",
"number": "1437684453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 CRISANTO AVENUE",
"address_2": "SUITE B",
"city": "FORT MILL",
"state": "SC",
"postal_code": "29715",
"telephone_number": "803-548-6464",
"fax_number": "803-396-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 CRISANTO AVENUE",
"address_2": "SUITE B",
"city": "FORT MILL",
"state": "SC",
"postal_code": "29715",
"telephone_number": "803-548-6464",
"fax_number": "803-396-8440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIALTY ORTHOPAEDICS AND SPORTS MEDICINE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-27",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A",
"authorized_official_last_name": "FELTHAM",
"authorized_official_first_name": "GLEN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER, PHYSICIAN",
"authorized_official_telephone_number": "570-452-0097",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G842",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SpecOrtho",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SpecOrtho",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.