NPIMap

Organization Active NPI

Orthosports Associates, LLC

  • Orthopaedic Surgery Physician
  • Pell City, AL
National Provider Identifier
1750967386
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOSPORTS ASSOCIATES, LLC
Practice address
70 Plaza Dr
Pell City, AL 35125-9314
Phone
(205) 838-4747
NPI assigned
Mar 23, 2021
Organization subpart
Yes
Parent organization
ORTHOSPORTS ASSOCIATES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Authorized official

Name
Lori W Sills
Title
Om
Phone
(205) 939-0447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

70 Plaza Dr
Pell City, AL 35125-9314

Mailing address

833 Saint Vincents Dr Ste 403
Birmingham, AL 35205-1614
Phone (205) 939-0447

Other identifiers 1

IdentifierTypeStateIssuer
127553MedicaidAL

National Provider Directory

National Provider Directory
Tax ID family
Orthosports Associates LLC12 organizations share this tax ID, including this one
Part of
Orthosports Associates LLC

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1750967386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR STE 403",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051614",
            "telephone_number": "205-939-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PLAZA DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351259314",
            "telephone_number": "205-838-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOSPORTS ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOSPORTS ASSOCIATES, LLC",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "SILLS",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OM",
        "authorized_official_telephone_number": "205-939-0447"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127553",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.