Organization Active NPI

Ortho-Sports PT, Inc

  • Physical Therapy Clinic/Center
  • Berkeley, CA
National Provider Identifier
1932206828
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ORTHO-SPORTS PT, INC
Practice address
2917 College Ave
Berkeley, CA 94705-2203
Phone
(510) 644-3668
Fax
(510) 644-0418
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Craig D. Norton, PTNPI 1730275728
Title
President & Ceo
Phone
(510) 644-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2917 College Ave
Berkeley, CA 94705-2203

Mailing address

2917 College Ave
Berkeley, CA 94705-2203
Phone (510) 644-3668

National Provider Directory

National Provider Directory

Locations

2917 College Ave
Berkeley, CA 94705
Phone (510) 644-3668

Practitioners & affiliated clinicians

Practitioners 1

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932206828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 COLLEGE AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052203",
            "telephone_number": "510-644-3668",
            "fax_number": "510-644-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 COLLEGE AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052203",
            "telephone_number": "510-644-3668",
            "fax_number": "510-644-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO-SPORTS PT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "510-644-3668",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.