ORTHOPEDIC SPINE & SPORTS INC (NPI# 1639694383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639694383 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC SPINE & SPORTS INC |
| Practice Address |
480 E 2nd St Rochester MI 48307-2006 |
| Mailing Address |
2558 N Squirrel Rd Auburn Hills MI 48326-2383 |
| Practice Telephone | 2483401100 |
| Mailing Telephone | 2483401100 |
| Mailing Fax Number | 2483401101 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |
| Authorized Official Name | SHANNON BRANNING (OFFICE MANAGER) |
| Authorized Official Telephone | 2483401100 |
| Is Organization Subpart | Y |
| Parent Organization Name | ORTHOPEDIC SPINE & SPORTS THERAPY AH, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
480 E 2ND ST |
| City | ROCHESTER |
| State | MI |
| Zip Code | 48307-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
| 1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
| 1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
| 1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
| 1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
| 1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
| 1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
| 1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
| Find all providers in zip 48307 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260352 | Aurore Lucille Dorsinville | Clinic/Center | 93 Smyles Dr, Rochester, NY 14609-3130 | 2020-09-16 |
| 1558908103 | Taylor F Wolin | Clinic/Center | 238 Edgerton St, Rochester, NY 14607-3317 | 2019-12-03 |
| 1760047278 | Inner Power Physical Therapy Pllc | Clinic/Center | 2561 Lac Deville Boulevard, Suite 100, Rochester, NY 14618 | 2019-05-09 |
| 1366985947 | Barrington Physical Therapy, LLC | Clinic/Center | 29 Ledgeview Dr, Rochester, NH 03839-5618 | 2016-11-30 |
| 1780059949 | Banks Physical Therapy | Clinic/Center | 4270 Maine Ave Se, Suite 300, Rochester, MN 55904-6935 | 2015-12-14 |
| 1932571221 | Catalyst Physiotherapy LLC | Clinic/Center | 145 Peavine Dr, Rochester, VT 05767-9669 | 2015-10-26 |
| 1457722837 | Eresultspt | Clinic/Center | 2202 21st St Nw, Rochester, MN 55901-0614 | 2015-10-12 |
| 1003932120 | Occupational Health Centers of New York, P.a., P.C. | Clinic/Center | 687 Lee Rd., Suite 208, Rochester, NY 14606 | 2007-03-21 |
| 1164478285 | Plaza Sports Medicine & Rehabilitation PC | Clinic/Center | One Whipple Lane, Rochester, NY 14622 | 2006-05-26 |
| 1013532829 | Graeme Reed Campbell | Clinic/Center | 3100 19th St Nw Ste 200, Rochester, MN 55901-6606 | 2020-06-08 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on ORTHOPEDIC SPINE & SPORTS INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.