On-Site Sports Medicine Services, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ON-SITE SPORTS MEDICINE SERVICES, INC.

Practice address

440 Highland Ave SW
Roanoke, VA 24016-4214

Phone

(180) 047-2064

NPI assigned

May 5, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Talena Cox Williams, ATC/L; PA-C

Title

Ceo/President

Phone

(800) 472-0646

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1790951267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21467",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180555",
            "telephone_number": "180-047-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 HIGHLAND AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164214",
            "telephone_number": "180-047-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON-SITE SPORTS MEDICINE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TALENA",
        "authorized_official_middle_name": "COX",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "800-472-0646",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ATC/L; PA-C"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.