NPIMap

Organization Active NPI

Orthopedic Spine & Sports Inc

  • Physical Therapy Clinic/Center
  • Rochester, MI
National Provider Identifier
1639694383
Registry record updated Aug 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ORTHOPEDIC SPINE & SPORTS INC
Practice address
480 E 2ND St
Rochester, MI 48307-2006
Phone
(248) 340-1100
NPI assigned
Aug 3, 2017
Last updated
Aug 3, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
ORTHOPEDIC SPINE & SPORTS THERAPY AH, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2017

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

Authorized official

Name
Shannon Branning
Title
Office Manager
Phone
(248) 340-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

480 E 2ND St
Rochester, MI 48307-2006

Mailing address

2558 N Squirrel Rd
Auburn Hills, MI 48326-2383
Phone (248) 340-1100

National Provider Directory

National Provider Directory
Part of
Orthopedic Spine Sports Therapy Ah Inc

Locations

480 E 2nd St
Rochester, MI 48307
Phone (248) 340-1100

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501718400000",
    "number": "1639694383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2558 N SQUIRREL RD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262383",
            "telephone_number": "248-340-1100",
            "fax_number": "248-340-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 E 2ND ST",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072006",
            "telephone_number": "248-340-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC SPINE & SPORTS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPEDIC SPINE & SPORTS THERAPY AH, INC",
        "enumeration_date": "2017-08-03",
        "last_updated": "2017-08-03",
        "status": "A",
        "authorized_official_last_name": "BRANNING",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-340-1100"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; 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.