| Rothman Orthopaedic Institute | |
|
265 E Rollins St Ste 11100 Orlando FL 32804-5519 | |
| (844) 407-4070 | |
| (407) 743-3050 |
| Full Name | Rothman Orthopaedic Institute |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 265 E Rollins St Ste 11100, Orlando, Florida |
| Authorized Official Name and Position | Chelsey Conway (VP FINANCE) |
| Authorized Official Contact | 2678454119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rothman Orthopaedic Institute 833 Chestnut St Ste 520 Philadelphia PA 19107-4430 Ph: (609) 677-7003 | Rothman Orthopaedic Institute 265 E Rollins St Ste 11100 Orlando FL 32804-5519 Ph: (844) 407-4070 |
| NPI Number | 1669086872 |
|---|---|
| Provider Enumeration Date | 09/04/2020 |
| Last Update Date | 01/17/2023 |
| Medicare PECOS PAC ID | 4880009786 |
|---|---|
| Medicare Enrollment ID | O20210225002644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669086872 | NPI | - | NPPES |
| Provider Name | Gerald B Bornstein |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598771107 PECOS PAC ID: 1759378706 Enrollment ID: I20040513000445 |
| Provider Name | Christopher Lewis Reeves |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740254655 PECOS PAC ID: 5991785909 Enrollment ID: I20040721000877 |
| Provider Name | Todd Furman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255495164 PECOS PAC ID: 4082614482 Enrollment ID: I20070109000449 |
| Provider Name | Douglas S Allen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285790618 PECOS PAC ID: 2961500889 Enrollment ID: I20070531000075 |
| Provider Name | Michael Anthony Hawks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881896108 PECOS PAC ID: 9830243005 Enrollment ID: I20090822000025 |
| Provider Name | Daryl C Osbahr |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1699944017 PECOS PAC ID: 4880719277 Enrollment ID: I20140225002132 |
| Provider Name | Donald H Youmans |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1700083045 PECOS PAC ID: 9739372939 Enrollment ID: I20140827002086 |
| Provider Name | Andre S Ishmael |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578972436 PECOS PAC ID: 3971721168 Enrollment ID: I20140829002190 |
| Provider Name | Kimberly Blakely |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568853836 PECOS PAC ID: 3173840568 Enrollment ID: I20150324000697 |
| Provider Name | Keri Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326494634 PECOS PAC ID: 4284926791 Enrollment ID: I20160701000458 |
| Provider Name | Jeffrey Petrie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841510252 PECOS PAC ID: 2860638103 Enrollment ID: I20160825001856 |
| Provider Name | Ryan A Durfee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023338449 PECOS PAC ID: 3476798240 Enrollment ID: I20170118002879 |
| Provider Name | Obinna O Adigweme |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356636591 PECOS PAC ID: 8325283161 Enrollment ID: I20171102001187 |
| Provider Name | Andrew Michael Pepper |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720341878 PECOS PAC ID: 3072745819 Enrollment ID: I20180831000119 |
| Provider Name | Samantha D Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093196800 PECOS PAC ID: 6305188830 Enrollment ID: I20190501003195 |
| Provider Name | Anita Vijapura |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1518346154 PECOS PAC ID: 2961707583 Enrollment ID: I20190806001061 |
| Provider Name | Abdo Bachoura |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578797676 PECOS PAC ID: 5496973521 Enrollment ID: I20190912001141 |
| Provider Name | Nicole C Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982197026 PECOS PAC ID: 9133471014 Enrollment ID: I20200813001039 |
| Provider Name | John Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174841258 PECOS PAC ID: 2961651732 Enrollment ID: I20210310002216 |
| Provider Name | Atif K Ahmed |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184981789 PECOS PAC ID: 6800167107 Enrollment ID: I20210311000958 |
| Provider Name | Kristen G Girard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750891271 PECOS PAC ID: 3476961632 Enrollment ID: I20210428000983 |
| Provider Name | John Ruder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255741898 PECOS PAC ID: 9830517739 Enrollment ID: I20210706002028 |
| Provider Name | Alexandra E Vertus |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104366137 PECOS PAC ID: 9638440068 Enrollment ID: I20210713001842 |
| Provider Name | Michelle Mullins |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1902334816 PECOS PAC ID: 2961745252 Enrollment ID: I20210714000246 |
| Provider Name | Adam Money |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174903652 PECOS PAC ID: 2062703440 Enrollment ID: I20210803001980 |
| Provider Name | David Crandall Hirsch |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1104231059 PECOS PAC ID: 1759624075 Enrollment ID: I20210812002881 |
| Provider Name | Jason M Epstein |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1245680636 PECOS PAC ID: 2062751563 Enrollment ID: I20210823000377 |
| Provider Name | Zachary S Logeson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962945535 PECOS PAC ID: 4789089194 Enrollment ID: I20210824000933 |
| Provider Name | Melinda M Hufford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255784765 PECOS PAC ID: 0042616146 Enrollment ID: I20210914002785 |
| Provider Name | Erin E Ireland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932433802 PECOS PAC ID: 8426446626 Enrollment ID: I20211020001733 |
| Provider Name | George Russell Huffman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699703157 PECOS PAC ID: 4688632490 Enrollment ID: I20211201000427 |
| Provider Name | Daniel Fassett |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205902442 PECOS PAC ID: 3476655978 Enrollment ID: I20220425002755 |
| Provider Name | Brian Keith Goldberg |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033237524 PECOS PAC ID: 7618041781 Enrollment ID: I20220614002174 |
| Provider Name | Luke S Oh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942408059 PECOS PAC ID: 1850468307 Enrollment ID: I20220627001087 |
| Provider Name | Andrew James Clair |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265811400 PECOS PAC ID: 2466790910 Enrollment ID: I20220727000023 |
| Provider Name | Andrew Phillip Alvarez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699164376 PECOS PAC ID: 6204218902 Enrollment ID: I20220727003092 |
| Provider Name | Eric Wayne Pettyjohn |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1356846299 PECOS PAC ID: 2365775624 Enrollment ID: I20220808001588 |
| Provider Name | Patrick J King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801207238 PECOS PAC ID: 2860613304 Enrollment ID: I20220812002140 |
| Provider Name | Olamide Oshikoya |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144503483 PECOS PAC ID: 1850663352 Enrollment ID: I20220819002068 |
| Provider Name | Amir Reza Kachooei |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1659902021 PECOS PAC ID: 8921437914 Enrollment ID: I20220902000096 |
| Provider Name | Tara Gaston Moncman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801243092 PECOS PAC ID: 3678977253 Enrollment ID: I20220906001421 |
| Provider Name | Noah M Mastone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861123945 PECOS PAC ID: 2466837547 Enrollment ID: I20220912000713 |
| Provider Name | Rajni Maria Lach |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588857361 PECOS PAC ID: 6002291853 Enrollment ID: I20220915001597 |
| Provider Name | Tarson M De Mesquita Passos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861163461 PECOS PAC ID: 3577939990 Enrollment ID: I20221026000665 |
| Provider Name | Stephen J Hooley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558886564 PECOS PAC ID: 3577822451 Enrollment ID: I20230308002221 |
| Provider Name | Trung Bui |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932454865 PECOS PAC ID: 8921472556 Enrollment ID: I20230323000048 |
| Provider Name | Mitchell R Henry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366438525 PECOS PAC ID: 4789750456 Enrollment ID: I20230627003158 |
| Provider Name | Flavia Silverio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104546563 PECOS PAC ID: 7113386855 Enrollment ID: I20230628004372 |
| Provider Name | Benjamin D Sookhoo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831626712 PECOS PAC ID: 9234403361 Enrollment ID: I20230725004054 |
| Provider Name | Ramakanth R Yakkanti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679004774 PECOS PAC ID: 1355723024 Enrollment ID: I20230726002591 |
| Provider Name | George Richard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073046231 PECOS PAC ID: 3678846060 Enrollment ID: I20230802001491 |
| Provider Name | Taylor B Hyde |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356011993 PECOS PAC ID: 3274997374 Enrollment ID: I20230907002703 |
| Provider Name | Marques Andre Castro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578242632 PECOS PAC ID: 6709240591 Enrollment ID: I20230912003798 |
| Provider Name | Holly N Myers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073982955 PECOS PAC ID: 3870947963 Enrollment ID: I20230922002126 |
| Provider Name | Tunc Can Kiymaz |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1689168734 PECOS PAC ID: 8527317304 Enrollment ID: I20231129002001 |
| Provider Name | Erica R Swannie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437925864 PECOS PAC ID: 0840641254 Enrollment ID: I20240110003068 |
| Provider Name | Kellie M Wing |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629581350 PECOS PAC ID: 5193160190 Enrollment ID: I20240229002374 |
| Provider Name | Samatha Tipirneni |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1598883076 PECOS PAC ID: 0143383505 Enrollment ID: I20240310000167 |
| Provider Name | Steven Cole Liuzza |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376290908 PECOS PAC ID: 8123469400 Enrollment ID: I20240517000851 |
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