Sports and Spine Physical Therapy Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

SPORTS AND SPINE PHYSICAL THERAPY INC

Doing business as

Sportspine

Practice address

3365 Richmond Rd Ste 110
Beachwood, OH 44122-4171

Phone

(216) 593-7070

Fax

(216) 593-7074

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Tiffany Marie Wasson

Title

Regional Administrator

Phone

(216) 593-7070

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Sportspine Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Loretta Michelle West, PT

  • Physical Therapist
  • Beachwood, OH
  • NPI 1598821985
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1619923026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 RICHMOND RD",
            "address_2": "SUITE 101A",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224100",
            "telephone_number": "216-593-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 RICHMOND RD STE 110",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224171",
            "telephone_number": "216-593-7070",
            "fax_number": "216-593-7074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3433 Agler Rd Ste E1100",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432193387",
            "country_code": "US",
            "telephone_number": "614-503-5246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPORTS AND SPINE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "WASSON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "REGIONAL ADMINISTRATOR",
        "authorized_official_telephone_number": "216-593-7070"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH BLUE CROSS/ANTHEM",
            "identifier": "000000314395",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2452199",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD3410",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sportspine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sportspine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Rose Sperrazza, RN
• Caroline A Spettel, MSN, NP-C
• Lauren Spicer, APRN, FNP-C
• Benjamin A. Spinner, M.D.
• Rachelle Spitz, LISW
• Spring Forward LLC Inc.
• Gottfried Karl Spring, M.D.
• Rose Marie Spruengli, SPL, DOULA
• Susan Squires
• James S SRP, CNS, CNP

• Rehabilitation Clinic/Center in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Rehabilitation Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.