SPORTS AND ORTHOPEDIC SPECIALISTS PHYSICAL THERAPY (NPI# 1811249055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811249055 |
| Entity Type | Organization |
| Organization Name | SPORTS AND ORTHOPEDIC SPECIALISTS PHYSICAL THERAPY |
| Other Organization Name | SOSPT |
| Practice Address |
8371 N Military Trl Suite 106 West Palm Beach FL 33410-6300 |
| Practice Telephone | 5613289298 |
| Practice Fax Number | 5613289348 |
| Mailing Telephone | 5613289298 |
| Mailing Fax Number | 5613289348 |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2013-03-28 |
| Authorized Official Name | MRS. KERRIE JEAN BROOKS-ANGLE (PRESIDENT/OWNER) |
| Authorized Official Telephone | 5613174847 |
| Authorized Official Credential | DPT, ATC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT 19952 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SOSPT | Other Name - Individual/Organization |
| Street Address |
8371 N MILITARY TRL SUITE 106 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33410-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851414171 | Lisa Anne Fossett | Physical Therapist | 8371 N Military Trl, Suite 106, West Palm Beach, FL 33410-6300 | 2007-04-10 |
| 1285908764 | Amber Searcy | Physical Therapist | 8371 N Military Trl, Suite 104, West Palm Beach, FL 33410-6300 | 2012-03-01 |
| 1477832897 | Orthosport | Exclusive Provider Organization | 8371 N Military Trl, #106, West Palm Beach, FL 33410-6300 | 2011-08-16 |
| 1821383266 | Orthosport Group, Pllc | Physical Therapist | 8371 N Military Trl, Suite 106, West Palm Beach, FL 33410-6300 | 2011-06-14 |
| 1235304262 | Kerrie Jean Brooks-angle | Physical Therapist | 8371 N Military Trl, Suite 106, West Palm Beach, FL 33410-6300 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093294803 | Physical Therapy Now of Mangonia Park | Clinic/Center | 1748 45th St, West Palm Beach, FL 33407 | 2018-08-13 |
| 1942793807 | Good Samaritan Physio-therapy, LLC | Clinic/Center | 2393 South Congress Ave Suite 125, West Palm Beach, FL 33406 | 2018-06-14 |
| 1699160523 | Kat Physical Therapy & Rehabilitation LLC | Clinic/Center | 2901 N Military Trl Ste C, West Palm Beach, FL 33409-2620 | 2015-03-30 |
| 1639478555 | Blue Village Medical Center | Clinic/Center | 2669 Forest Hill Blvd Ste 211, West Palm Beach, FL 33406-5937 | 2011-03-17 |
| 1821306572 | Aspm LLC | Clinic/Center | 2078 Cezanne Rd, West Palm Beach, FL 33409-7531 | 2010-09-15 |
| 1447577085 | Dioni Rehabilitation Service Corp | Clinic/Center | 6414 Webster Ave, West Palm Beach, FL 33405-4442 | 2010-04-21 |
| 1609052653 | Whole Body Rehabilitation Inc | Clinic/Center | 5093 Okeechobee Blvd, West Palm Beach, FL 33417-4533 | 2008-01-20 |
| 1285827352 | Cabello Groupo Servicio Corp | Clinic/Center | 1032 S Military Trl, West Palm Beach, FL 33415-4717 | 2007-08-22 |
| 1548216864 | Arc Therapy Services LLC | Clinic/Center | 6100 Common Cir, West Palm Beach, FL 33417-4201 | 2006-05-26 |
| 1164476545 | Young Body Rehabilitation, Inc. | Clinic/Center | 9091 N Military Trl, Suite 11, West Palm Beach, FL 33410-5959 | 2006-05-20 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33410 |
Please comment or provide details below to improve the information on SPORTS AND ORTHOPEDIC SPECIALISTS PHYSICAL THERAPY.
| 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.