Healthcare Provider Details

I. General information

NPI: 1598642654
Provider Name (Legal Business Name): SPINE AND ORTHOPEDIC SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17637 SHADY RD STE 104
LEWES DE
19958-6248
US

IV. Provider business mailing address

17637 SHADY RD STE 104
LEWES DE
19958-6248
US

V. Phone/Fax

Practice location:
  • Phone: 302-390-8926
  • Fax: 302-291-2648
Mailing address:
  • Phone: 302-390-8926
  • Fax: 302-291-2648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: FRANKLIN JOHN ROOKS JR.
Title or Position: ATTORNEY
Credential:
Phone: 856-874-8999