Ortho Sport & Spine Physicians of Massachusetts, PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ORTHO SPORT & SPINE PHYSICIANS OF MASSACHUSETTS, PLLC

Practice address

1208B VFW Pkwy Ste 305
West Roxbury, MA 02132-4350

Phone

(800) 678-4611

NPI assigned

Oct 22, 2024

Organization subpart

No

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

Authorized official

Name

Faith Beltzhoover

Title

RCM Director

Phone

(800) 678-4611

Specialties & licenses 1

Addresses

Tax ID family

Ortho Sport Spine Physicians Boston2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Ortho Sport & Spine Physicians Boston

  • Physical Medicine & Rehabilitation Physician
  • West Roxbury, MA
  • NPI 1952123440
  NPD tax ID

Locations

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1659192797",
    "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": "800-678-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208B VFW PKWY STE 305",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324350",
            "telephone_number": "800-678-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO SPORT & SPINE PHYSICIANS OF MASSACHUSETTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "BELTZHOOVER",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "RCM DIRECTOR",
        "authorized_official_telephone_number": "800-678-4611"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tope Olotu, MSW
• Angela Omar
• Jay D Orlander, M.D.
• Ralph Philip Orlando, M.D.
• Ortho Sport & Spine Physicians Boston
• Yasmine Owen
• Erika Lyn Pacheco
• Dylan Palmer, M.S.ED, BCBA
• Chong-Xian Pan, M.D., PHD
• Allison Espinosa Panganiban

• Orthopaedic Surgery Physician in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• Orthopaedic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.