Ortho Sport & Spine Physicians Boston

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ORTHO SPORT & SPINE PHYSICIANS BOSTON

Practice address

1208B VFW Pkwy Ste 305
West Roxbury, MA 02132-4350

Phone

(800) 678-4611

NPI assigned

Oct 28, 2024

Organization subpart

No

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

Authorized official

Name

Faith A Beltzhoover

Title

RCM Director

Phone

(678) 752-7246

Specialties & licenses 1

Addresses

Tax ID family

Ortho Sport Spine Physicians Boston2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ortho Sport & Spine Physicians of Massachusetts, PLLC

  • Orthopaedic Surgery Physician
  • West Roxbury, MA
  • NPI 1659192797
  NPD tax ID

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1952123440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5788 ROSWELL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284904",
            "telephone_number": "678-752-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208B VFW PKWY STE 305",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324350",
            "telephone_number": "800-678-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO SPORT & SPINE PHYSICIANS BOSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "BELTZHOOVER",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "RCM DIRECTOR",
        "authorized_official_telephone_number": "678-752-7246"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Olofsson
• Tope Olotu, MSW
• Angela Omar
• Jay D Orlander, M.D.
• Ralph Philip Orlando, M.D.
• Ortho Sport & Spine Physicians of Massachusetts, PLLC
• Yasmine Owen
• Erika Lyn Pacheco
• Dylan Palmer, M.S.ED, BCBA
• Chong-Xian Pan, M.D., PHD

• Physical Medicine & Rehabilitation Physician in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• Physical Medicine & Rehabilitation Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.