NPIMap

Organization Active NPI

All-Pro Orthopedics and Sports Medicine PA

  • Orthopaedic Surgery Physician
  • Pembroke Pines, FL
National Provider Identifier
1770837148
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS10003 Issued in FL
Legal business name
ALL-PRO ORTHOPEDICS AND SPORTS MEDICINE PA
Practice address
17779 SW 2ND St
Pembroke Pines, FL 33029-3924
Phone
(954) 450-0099
Fax
(954) 450-0022
NPI assigned
Nov 6, 2012
Last updated
Jul 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Jesse Shaw, DONPI 1396865788
Title
Owner
Phone
(954) 450-0099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X OS10003 FL Primary

Addresses

Primary practice location

17779 SW 2ND St
Pembroke Pines, FL 33029-3924

Mailing address

17779 SW 2ND St
Pembroke Pines, FL 33029-3924
Phone (954) 450-0099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130228000210 FL Part B Supplier - Clinic/Group Practice 5092960898 Receives reassigned benefits from 12 practitioners
Practice locations: Hialeah, FL; Hollywood, FL; Pembroke Pines, FL; Wellington, FL
O20250610002133 FL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 5092960898 Practice locations: Pembroke Pines, FL

National Provider Directory

National Provider Directory

Locations

17779 SW 2nd St
Pembroke Pines, FL 33029
Phone (954) 322-1110

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1770837148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17779 SW 2ND ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293924",
            "telephone_number": "954-450-0099",
            "fax_number": "954-450-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17779 SW 2ND ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293924",
            "telephone_number": "954-450-0099",
            "fax_number": "954-450-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL-PRO ORTHOPEDICS AND SPORTS MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-450-0099",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS10003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.