Orthosport Group

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT19952 Issued in FL

Legal business name

ORTHOSPORT GROUP

Practice address

4360 Northlake Blvd
Suite 208
Palm Beach Gardens, FL 33410-6274

Phone

(561) 630-0144

Fax

(561) 630-0145

NPI assigned

Apr 30, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Kerrie Jean Brooks, DPT, ATC

Title

President/Owner

Phone

(561) 630-0144

Specialties & licenses 1

Addresses

Tax ID family

Ortho Sport Group2 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.

• Orthosport

  • Exclusive Provider Organization
  • West Palm Beach, FL
  • NPI 1477832897
  NPD tax ID

Locations

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1750557781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 NORTHLAKE BLVD",
            "address_2": "SUITE 208",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106274",
            "telephone_number": "561-630-0144",
            "fax_number": "561-630-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 NORTHLAKE BLVD",
            "address_2": "SUITE 208",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106274",
            "telephone_number": "561-630-0144",
            "fax_number": "561-630-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOSPORT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "KERRIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "561-630-0144",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DPT, ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT19952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Orshan, MS, DO
• Thanh Ortega, RD, LDN, CSG
• Orthopedic and Laser Spine Surgery
• Orthopedic and Neurosurgery of Florida LLC
• Orthopedic and Spine Surgery, LLC
• Emily Jolyne Ortiz
• Evelyn Ortiz, CRNA
• Julio Cesar Ortiz, DPM
• Summer Orzabal
• Osa Nyman, MD PA

• Physical Therapy Clinic/Center in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.