Ortho Sport & Spine Physicians Southhaven

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ORTHO SPORT & SPINE PHYSICIANS SOUTHHAVEN

Practice address

3964 Goodman Rd E
Southaven, MS 38672-8761

Phone

(800) 678-4611

NPI assigned

May 6, 2026

Last updated

May 6, 2026By 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

Faith A Beltzhoover

Title

RCM Director

Phone

(678) 752-7246

Specialties & licenses 1

Addresses

Tax ID family

Ortho Sport Spine Phy of Mississippi2 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 of Mississippi, LLC

  • Physical Medicine & Rehabilitation Physician
  • Jackson, MS
  • NPI 1073221545
  NPD tax ID

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

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1659208361",
    "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",
            "fax_number": "678-530-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3964 GOODMAN RD E",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386728761",
            "telephone_number": "800-678-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO SPORT & SPINE PHYSICIANS SOUTHHAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "BELTZHOOVER",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "RCM DIRECTOR",
        "authorized_official_telephone_number": "678-752-7246"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omega Hospice, LLC
• Sarah Holmes Oneal, LPC
• Eric John Ormseth, M.D.
• Jodie Orr, DPT
• Ortho Express Holding Company, LLC (OrthoXpress of Southaven)
• Debra Ann Oswalt, CRNA
• Otolaryngology Associates of the Midsouth
• Debra Ann Ottens, PT
• Hannah Elizabeth Owens
• Steven Keith Owens, CRNA

• Physical Medicine & Rehabilitation Physician in Southaven, MS
• Providers in Southaven, MS by specialty
• Physical Medicine & Rehabilitation Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.