NPIMap

Organization Active NPI

Spine & Sport Institute, Inc.

  • Physical Therapist
  • Vero Beach, FL
National Provider Identifier
1962530659
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT#007940 Issued in FL
Legal business name
SPINE & SPORT INSTITUTE, INC.
Practice address
1345 36TH St
Vero Beach, FL 32960-4848
Phone
(772) 567-8040
Fax
(772) 567-8420
NPI assigned
Mar 2, 2007
Last updated
Feb 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Authorized official

Name
Ms. Marjorie R Rodd, P.T., CERT M.D.T.NPI 1609904556
Title
Ceo
Phone
(772) 567-8040

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 Therapist 225100000X PT#007940 FL Primary

Addresses

Primary practice location

1345 36TH St
Vero Beach, FL 32960-4848

Mailing address

1345 36TH St
Vero Beach, FL 32960-4848
Phone (772) 567-8040

Other identifiers 1

IdentifierTypeStateIssuer
Y5581OtherFLBCBS PROVIDER #

National Provider Directory

National Provider Directory

Locations

1345 36th St
Vero Beach, FL 32960
Phone (772) 567-8040

1345 36th St
Ste A
Vero Beach, FL 32960
Phone (772) 567-8040

3125 Windsor Blvd
Vero Beach, FL 32963
Phone (727) 567-8040

Practitioners & affiliated clinicians

Practitioners 7

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": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1962530659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 36TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604848",
            "telephone_number": "772-567-8040",
            "fax_number": "772-567-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 36TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604848",
            "telephone_number": "772-567-8040",
            "fax_number": "772-567-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & SPORT INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "RODD",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-567-8040",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T., CERT M.D.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT#007940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "Y5581",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.