Organization Active NPI

Varsity Orthopedics, P.a.

  • Pediatric Orthopaedic Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1932317583
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
H8341 Issued in TX
Legal business name
VARSITY ORTHOPEDICS, P.A.
Practice address
9545 N Beach St Ste 133
Fort Worth, TX 76244-6471
Phone
(817) 431-1017
Fax
(817) 431-1032
NPI assigned
May 18, 2007
Last updated
Mar 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Authorized official

Name
Dr. Christine Quatro Ott, D.O.NPI 1366417883
Title
Doctor of Osteopathy
Phone
(817) 431-1017

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X H8341 TX
Pediatric Sports Medicine Physician 2080S0010X H8341 TX
Pediatric Orthopaedic Surgery Physician 207XP3100X H8341 TX Primary

Addresses

Primary practice location

9545 N Beach St Ste 133
Fort Worth, TX 76244-6471

Mailing address

501 W Harwood Rd
Hurst, TX 76054-3163
Phone (817) 268-2758

Other identifiers 2

IdentifierTypeStateIssuer
110604901MedicaidTX
1366417883OtherTXNPI NUMBER

National Provider Directory

National Provider Directory

Locations

9545 N Beach St
Ste 133
Fort Worth, TX 76244
Phone (817) 431-1017

501 W Harwood Rd
Hurst, TX 76054
Phone (817) 268-2758

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": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1932317583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W HARWOOD RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543163",
            "telephone_number": "817-268-2758",
            "fax_number": "817-268-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9545 N BEACH ST STE 133",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446471",
            "telephone_number": "817-431-1017",
            "fax_number": "817-431-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARSITY ORTHOPEDICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "QUATRO",
        "authorized_official_title_or_position": "DOCTOR OF OSTEOPATHY",
        "authorized_official_telephone_number": "817-431-1017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "H8341",
            "primary": false
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "TX",
            "license": "H8341",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "TX",
            "license": "H8341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110604901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1366417883",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.