NPIMap

Organization Active NPI

Orthosports Associates LLC

  • Prosthetic/Orthotic Supplier
  • Hoover, AL
National Provider Identifier
1568041671
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ORTHOSPORTS ASSOCIATES LLC
Practice address
2104 Rocky Ridge Rd
Hoover, AL 35216-5138
Phone
(205) 939-0477
Fax
(205) 939-0418
NPI assigned
Apr 6, 2021
Organization subpart
Yes
Parent organization
ORTHOSPORTS ASSOCIATES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
Lori W Sills
Title
Office Manager
Phone
(205) 939-0447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2104 Rocky Ridge Rd
Hoover, AL 35216-5138

Mailing address

833 Saint Vincents Dr Ste 403
Birmingham, AL 35205-1614
Phone (205) 939-0447

Other identifiers 1

IdentifierTypeStateIssuer
127553MedicaidAL

Other names 1

  • OrthoSports Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Orthosports Associates LLC12 organizations share this tax ID, including this one
Part of
Orthosports Associates LLC

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1568041671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR STE 403",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051614",
            "telephone_number": "205-939-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 ROCKY RIDGE RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352165138",
            "telephone_number": "205-939-0477",
            "fax_number": "205-939-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOSPORTS ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOSPORTS ASSOCIATES LLC",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "SILLS",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-939-0447"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127553",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoSports Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.