ORTHOSPORT (NPI# 1477832897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477832897 |
| Entity Type | Organization |
| Organization Name | ORTHOSPORT |
| Other Organization Name | ORTHO SPORT GROUP |
| Practice Address |
8371 N Military Trl #106 West Palm Beach FL 33410-6300 |
| Practice Telephone | 5613289298 |
| Practice Fax Number | 5613289348 |
| Mailing Telephone | 5613289298 |
| Mailing Fax Number | 5613289348 |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-30 |
| Authorized Official Name | MRS. KERRIE BROOKS (CO OWNER) |
| Authorized Official Telephone | 5613289298 |
| Authorized Official Credential | DPT,ATC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | PT19952 | FL | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Ortho Sport Group | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ORTHOSPORT AZ, INC | 8205 N Via De Negocio, Scottsdale, AZ 85258-2312 |
| Virginia Business Entities | OrthoSport Inc. | 14100 Parke Long Ct, Unit C, Chantilly, Virginia 20151-1644 |
| Washington State Corporations | ORTHOSPORT PHYSICAL THERAPY PLLC | 19217 36th Ave W Ste 102, Lynnwood, WA 98036 |
| New York State Corporations | ORTHOSPORT PHYSICAL THERAPY, P.C. | 333 Route 25a, Suite 240, Rocky Point, Ny 11778 |
| Washington State Corporations | ORTHOSPORT, PLLC | 19217 36th Ave W, Suite 105, Lynnwood, WA 98036-5751 |
| New York State Corporations | ORTHOSPORTMED HOLDINGS LLC | 970 North Broadway, Yonkers, Ny 10701 |
| Massachusetts Corporations | ORTHOSPORTS MEDICAL SERVICES, INC. | 1237 Highland Ave., Needham, MA 02492 |
| Alabama Business Registrations | OrthoSports Tower, LLC | 24104 Piney Creek Drive, Athens, Al, |
| Street Address |
8371 N MILITARY TRL #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 |
| 1811249055 | Sports and Orthopedic Specialists Physical Therapy | Clinic/Center | 8371 N Military Trl, Suite 106, West Palm Beach, FL 33410-6300 | 2012-10-11 |
| 1285908764 | Amber Searcy | Physical Therapist | 8371 N Military Trl, Suite 104, West Palm Beach, FL 33410-6300 | 2012-03-01 |
| 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 | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922432533 | Natalie Mendoza | Exclusive Provider Organization | 2753 Vista Pkwy, 110a, West Palm Beach, FL 33411-6752 | 2013-08-30 |
| 1376814707 | Roy J Cacciaguida Md Pa | Exclusive Provider Organization | 1500 N Dixie Hwy Ste 201, 201, West Palm Beach, FL 33401-2716 | 2012-01-17 |
| 1073558797 | Platinum Rehabilitation, Inc | Exclusive Provider Organization | 110 Century Blvd, West Palm Beach, FL 33417-2262 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780362 | South Florida Physician Network, LLC | Exclusive Provider Organization | 5000 Sw 75th Ave Ste 202, Miami, FL 33155-4468 | 2020-11-02 |
| 1164040598 | Ito Medical, LLC | Exclusive Provider Organization | 79 Sw 12th St Apt 1511, Miami, FL 33130-5203 | 2020-07-13 |
| 1588292882 | Clarity Dx, Inc. | Exclusive Provider Organization | 1111 Latta Ln, Orlando, FL 32804-6335 | 2020-03-31 |
| 1871126102 | First Harbour Health Management, LLC | Exclusive Provider Organization | 7320 Delainey Ct, Lakewood Ranch, FL 34240-8445 | 2020-02-14 |
| 1295378271 | Community Health Services, Inc | Exclusive Provider Organization | 15315 Nw 60th Ave Ste E, Miami Lakes, FL 33014-2440 | 2019-10-23 |
| 1447808894 | Doctorology, LLC | Exclusive Provider Organization | 6440 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8003 | 2019-08-29 |
| 1851943591 | Attesor Mso LLC | Exclusive Provider Organization | 3350 Sw 148th Ave Ste 146, Miramar, FL 33027-3257 | 2019-07-12 |
| 1225690563 | Annie Saika Lucien | Exclusive Provider Organization | 2341 Nw 38th Ter, Lauderdale Lakes, FL 33311-2650 | 2019-07-08 |
| 1548728397 | Power Md Mso LLC | Exclusive Provider Organization | 4000 N 37th Ave, Hollywood, FL 33021-1927 | 2019-03-11 |
| 1023575495 | Premiermd Sim, LLC | Exclusive Provider Organization | 3465 Galt Ocean Dr Ste 203, Ft Lauderdale, FL 33308-7077 | 2019-02-21 |
| Find all providers with the same taxonomy | ||||
| City | WEST PALM BEACH |
| Zip Code | 33410 |
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| 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.