# ORTHO SPORT & SPINE PHYSICIANS OF MISSOURI, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144938614
- **Authorized official:** FAITH BELTZHOOVER (REVENUE CYCLE MANAGEMENT DIRECTOR)
- **Authorized official phone:** (678) 752-7246

## Contact information

- **Practice address:** 450 N NEW BALLAS RD, CREVE COEUR, MO 63141-6859
- **Practice address phone:** (314) 390-0135
- **Mailing address:** 5788 ROSWELL RD, ATLANTA, GA 30328-4904
- **Mailing address phone:** (678) 752-7246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2022
- **Last updated:** 10/29/2024