Healthcare Provider Details

I. General information

NPI: 1164663563
Provider Name (Legal Business Name): SPINE AND ORTHOPEDIC SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2009
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 TWIN C LN STE 203
NEWARK DE
19713-2159
US

IV. Provider business mailing address

1101 TWIN C LN STE 203
NEWARK DE
19713-2159
US

V. Phone/Fax

Practice location:
  • Phone: 302-633-1280
  • Fax: 302-633-1284
Mailing address:
  • Phone: 302-623-1280
  • Fax: 302-633-1284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberJ10000743
License Number StateDE

VIII. Authorized Official

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