MEDICARE: VORI MEDICAL PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2251E1200X	Ergonomics Physical Therapist
2	2251S0007X	Sports Physical Therapist
3	2251X0800X	Orthopedic Physical Therapist
4	225XP0019X	Physical Rehabilitation Occupational Therapist
5	2083S0010X	Sports Medicine (Preventive Medicine) Physician
6	208VP0000X	Pain Medicine Physician
7	225100000X	Physical Therapist
8	133VN1501X	Sports Dietetics Nutrition Registered Dietitian
9	163WX0800X	Orthopedic Registered Nurse
10	207PS0010X	Sports Medicine (Emergency Medicine) Physician
11	207QS0010X	Sports Medicine (Family Medicine) Physician
12	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician
13	207RS0010X	Sports Medicine (Internal Medicine) Physician
14	2081S0010X	Sports Medicine (Physical Medicine & Rehabilitation) Physician
15	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1235880477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VORI MEDICAL PLLC

Provider Business Mailing Address
First Line	:	84 STATE ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02109-2202
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3205 OCEAN DR S
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-5956
Country	:	US
Telephone Number	:	866-719-2536
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MARY OCONNOR
Credential	:	MD
Telephone Number	:	866-719-9611

Provider Enumeration Date	:	01/10/2022
Last Update Date	:	02/07/2023

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