Organization Active NPI

Sports and Orthopedic Specialists Physical Therapy

  • Physical Therapy Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1811249055
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 19952 Issued in FL
Legal business name
SPORTS AND ORTHOPEDIC SPECIALISTS PHYSICAL THERAPY
Practice address
8371 N Military TRL
Suite 106
West Palm Beach, FL 33410-6300
Phone
(561) 328-9298
Fax
(561) 328-9348
NPI assigned
Oct 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Mrs. Kerrie Jean Brooks-Angle, DPT, ATC
Title
President/Owner
Phone
(561) 317-4847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT 19952 FL Primary

Addresses

Primary practice location

8371 N Military TRL
Suite 106
West Palm Beach, FL 33410-6300

Mailing address

8371 N Military TRL
Suite 106
West Palm Beach, FL 33410-6300
Phone (561) 328-9298

Other names 1

  • SOSPT Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130328000026 FL Part B Supplier - Clinic/Group Practice 9436394269 Receives reassigned benefits from 4 practitioners
Practice locations: West Palm Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1811249055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8371 N MILITARY TRL",
            "address_2": "SUITE 106",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106300",
            "telephone_number": "561-328-9298",
            "fax_number": "561-328-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8371 N MILITARY TRL",
            "address_2": "SUITE 106",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106300",
            "telephone_number": "561-328-9298",
            "fax_number": "561-328-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS AND ORTHOPEDIC SPECIALISTS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "BROOKS-ANGLE",
        "authorized_official_first_name": "KERRIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "561-317-4847",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT, ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT 19952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOSPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.