Rockford Orthopedic Associates, Ltd.

NPI #1306880414 in Rockford, Illinois

Provider Information

NPI Number: 1306880414
Entity Type: Organization
Organization Name: Rockford Orthopedic Associates, Ltd.
Subpart: Yes (part of a larger organization)
Parent Organization: ROCKFORD ORTHOPEDIC ASSOCIATES LTD
Primary Specialty: Prosthetic/Orthotic Supplier
Enumeration Date: Jun 16, 2006
Last Updated: Sep 11, 2019

Practice Location

Address: 324 ROXBURY ROAD
City: Rockford
State: Illinois
ZIP Code: 61107-5090
Phone: (815) 398-9491

Authorized Official

Name: LESLIE ELMER, CPCS
Title: MANGAER, CREDENTIALING AND RISK
Phone: (815) 381-7431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Rheumatology — Rheumatology	207RR0500X
Orthopaedic Surgery	207X00000X
Orthopaedic Surgery - Hand Surgery — Hand Surgery	207XS0106X
Orthopaedic Surgery - Sports Medicine — Sports Medicine	207XX0005X
Orthopaedic Surgery - Orthopaedic Trauma — Orthopaedic Trauma	207XX0801X
Physician Assistant	363A00000X
Physical Medicine & Rehabilitation	208100000X
Physical Therapist	225100000X
Physical Therapist - Orthopedic — Orthopedic	2251X0800X
Occupational Therapist	225X00000X
Durable Medical Equipment & Medical Supplies	332B00000X
Prosthetic/Orthotic Supplier	335E00000X	Primary

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