Sports Podiatry Resource, Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PD1511 Issued in MA

Legal business name

SPORTS PODIATRY RESOURCE, INC

Practice address

67 Union St
Suite 310
Natick, MA 01760-7700

Phone

(508) 653-8888

Fax

(617) 734-9733

NPI assigned

Apr 29, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Robinson, D.P.M.NPI 1023051653

Title

President

Phone

(617) 277-2662

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Michael Anthony Robinson, D.P.M.

  • Foot Surgery Podiatrist
  • Natick, MA
  • NPI 1023051653
  NPD Authorized official

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1720433576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1443 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464707",
            "telephone_number": "617-277-2662",
            "fax_number": "617-734-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 UNION ST",
            "address_2": "SUITE 310",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017607700",
            "telephone_number": "508-653-8888",
            "fax_number": "617-734-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS PODIATRY RESOURCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-277-2662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "PD1511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0338214",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerry Souza
• Elizabeth C Spark, M.D.
• Steven M Spiegel, M.D.
• Jennifer Ann Spitz, PT
• Sports Podiatry Resource Inc
• Katty Gemima St Paul, PMHNP
• Meredith St.John, LIC.AC.
• Michelle Kelly Stakutis, LMHC
• Emily Nicole Stansky, DNP, FNP-BC
• Andrew M Starsiak, MSPT

• Foot & Ankle Surgery Podiatrist in Natick, MA
• Providers in Natick, MA by specialty
• Foot & Ankle Surgery Podiatrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.