Northeast Orthopaedics & Sports Medicine

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1280360 Issued in TX

Legal business name

NORTHEAST ORTHOPAEDICS & SPORTS MEDICINE

Practice address

12709 Toepperwein Rd
Live Oak, TX 78233-3258

Phone

(210) 477-5151

Fax

(210) 477-5152

NPI assigned

Oct 26, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Davod Fox, MD

Title

Owner

Phone

(210) 477-5151

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1821540774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12709 TOEPPERWEIN RD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12709 TOEPPERWEIN RD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333258",
            "telephone_number": "210-477-5151",
            "fax_number": "210-477-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ORTHOPAEDICS & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "DAVOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-477-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1280360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1831203009",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Nguyen, DPT
• Tung Nguyen, M.D.
• Northeast Internal Medicine Associates,PA
• Northeast Methodist Surgicare, LTD (Northeast Methodist Ambulatory Surgery Center)
• Northeast Orthopaedic & Sports Medicine, LLP
• Northeast Orthopaedics & Sports Medicine, LLP
• Northeast San Antonio Hearing and Balance,LLC
• Northland Hearing Centers, Inc (NewSound Hearing Aid Centers)
• Holly O'Neill
• Oamd LLC

• Physical Therapist in Live Oak, TX
• Providers in Live Oak, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.