Active NPI
Orthosport
- Exclusive Provider Organization
- West Palm Beach, FL
National Provider Identifier
1477832897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- PT19952
- Legal business name
- ORTHOSPORT
- Practice address
- 8371 N Military TRL
#106
West Palm Beach, FL 33410-6300 - Phone
- (561) 328-9298
- Fax
- (561) 328-9348
- NPI assigned
- Aug 16, 2011
- 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
- Mrs. Kerrie Brooks, DPT,ATC
- Title
- Co Owner
- Phone
- (561) 328-9298
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | PT19952 | FL | Primary |
Addresses
Primary practice location
8371 N Military TRL
#106
West Palm Beach, FL 33410-6300
Mailing address
8371 N Military TRL
#106
West Palm Beach, FL 33410-6300
Phone (561) 328-9298
Other names 1
- Ortho Sport Group
National Provider Directory
National Provider Directory- Tax ID family
- Ortho Sport Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Palm Beach Gardens, FL
- NPI 1750557781
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- West Palm Beach, FL
- NPI 1235304262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314662400000",
"number": "1477832897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8371 N MILITARY TRL",
"address_2": "#106",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334106300",
"telephone_number": "561-328-9298",
"fax_number": "561-328-9348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8371 N MILITARY TRL",
"address_2": "#106",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334106300",
"telephone_number": "561-328-9298",
"fax_number": "561-328-9348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOSPORT",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-16",
"last_updated": "2011-08-30",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "KERRIE",
"authorized_official_title_or_position": "CO OWNER",
"authorized_official_telephone_number": "561-328-9298",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DPT,ATC"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "FL",
"license": "PT19952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ortho Sport Group",
"code": "5",
"type": "Other Name"
}
]
}Other providers in West Palm Beach, FL
- Valeria Beatriz Ortega
- Ortho Florida, LLC (Ankle and Foot Center of Florida)
- Ortho Florida, LLC (Florida Spine Associates)
- Orthopaedic Home Health and Rehabilitation, Inc.
- Orthopedic Anesthesia Pain Specialists Florida PA
- Orthosport Group, PLLC
- Pedro Esteban Ortiz Colon, PHARMD
- Rachel Ortiz Escalona
- Yaima Ortiz Morales
- Gabriela Ortiz Torres
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.