=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598642654
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SPINE AND ORTHOPEDIC SPECIALISTS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/20/2025
-----------------------------------------------------
Last Update Date | 09/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 17637 SHADY RD STE 104
-----------------------------------------------------
City | LEWES
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19958-6248
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-390-8926
-----------------------------------------------------
Fax | 302-291-2648
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 17637 SHADY RD STE 104
-----------------------------------------------------
City | LEWES
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19958-6248
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-390-8926
-----------------------------------------------------
Fax | 302-291-2648
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ATTORNEY
-----------------------------------------------------
Name | FRANKLIN JOHN ROOKS JR.
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 856-874-8999
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------