Ortho Sport and Spine Physicians St. Louis

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ORTHO SPORT AND SPINE PHYSICIANS ST. LOUIS

Practice address

450 N New Ballas Rd Ste 150
Creve Coeur, MO 63141-6835

Phone

(800) 678-4611

NPI assigned

Jan 15, 2021

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 1

Addresses

Tax ID family

Ortho Sport and Spine Physicians St Louis3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Ortho Sport & Spine Physicians Independence

  • Physical Medicine & Rehabilitation Physician
  • Independence, MO
  • NPI 1720809866
  NPD tax ID
• Ortho Sport & Spine Physicians of Missouri, LLC

  • Physical Medicine & Rehabilitation Physician
  • Creve Coeur, MO
  • NPI 1144938614
  NPD tax ID

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1558950337",
    "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": "305-290-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N NEW BALLAS RD STE 150",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416835",
            "telephone_number": "800-678-4611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12401 Olive Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631415443",
            "country_code": "US",
            "telephone_number": "678-831-7669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHO SPORT AND SPINE PHYSICIANS ST. LOUIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nwamaka Ifeyinwa Orji
• Paul O Orji
• Matthew J Orland, MD
• Ortho Missouri, LLC
• Ortho Sport & Spine Physicians of Missouri, LLC
• Orthopedic Ambulatory Surgery Center of Chesterfield, LLC
• Orthotic and Prosthetic Lab, Inc
• Huntington Overley, D.C.
• Thierry Papazian, DMD
• Parc Provence Management, L.L.C.

• Physical Medicine & Rehabilitation Physician in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Physical Medicine & Rehabilitation Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.