Ortho Sport & Spine Physicians Tampa

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ORTHO SPORT & SPINE PHYSICIANS TAMPA

Practice address

2304 E Fletcher Ave
Tampa, FL 33612-9404

Phone

(678) 752-7246

NPI assigned

Jun 1, 2023

Organization subpart

No

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

Authorized official

Name

Faith A Beltzhoover

Title

RCM Director

Phone

(678) 752-7246

Specialties & licenses 2

Addresses

Tax ID family

Ortho Sport Spine Physicians of Florida LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Ortho Sport & Spine Physicians of Florida, LLC

  • Physical Medicine & Rehabilitation Physician
  • Jacksonville, FL
  • NPI 1821706821
  NPD tax ID

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1508559816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5788 ROSWELL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284904",
            "telephone_number": "678-752-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336129404",
            "telephone_number": "678-752-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO SPORT & SPINE PHYSICIANS TAMPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "BELTZHOOVER",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "RCM DIRECTOR",
        "authorized_official_telephone_number": "678-752-7246"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Ortega, M.D.
• Elizabeth Ortega, LMT
• Melissa Evelyn Ortega
• Ortho Impulsa LLC
• Ortho Medical Services, Inc
• Ortho Workz South LLC
• Orthoneuro Injury, LLC
• Orthopaedic Medical Group of Tampa Bay PA
• Orthopaedic Medical Group of Tampa Bay PA
• Orthopaedic Medical Group of Tampa Bay PA

• Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.