Orthosport Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ORTHOSPORT PHYSICAL THERAPY, LLC

Practice address

95 Mathews Dr Ste D5
Hilton Head, SC 29926-3768

Phone

(843) 681-5640

Fax

(843) 681-5631

NPI assigned

May 9, 2008

Last updated

May 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeff Fromdahl, MSPT

Title

Owner

Phone

(843) 681-5640

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Fromdahl, MSPT

  • Physical Therapist
  • Monroe, GA
  • NPI 1760414031
  NPD (past)

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1639346547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MATHEWS DR STE D5",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299263768",
            "telephone_number": "843-681-5640",
            "fax_number": "843-681-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MATHEWS DR STE D5",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299263768",
            "telephone_number": "843-681-5640",
            "fax_number": "843-681-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOSPORT PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "FROMDAHL",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-681-5640",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "7620",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Optim Orthopedics, LLC
• Optimal Health and Wellness, LLC (Rejuvenate Health)
• Orthopaedic Reconstruction PA
• Orthopedic Associates of the Lowcountry, LLC (Premier Spine of the Carolinas)
• Orthopedic Associates of the Lowcountry, LLC (Medical Associates of Hilton Head)
• P and D LLC
• P23 Labs, LLC
• Pain Management ASC LLC
• Palmetto Assisted Living Medical Group PC
• Palmetto Ear Nose Throat PA

• Physical Therapist in Hilton Head, SC
• Providers in Hilton Head, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.