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MICHAEL H BOOTHBY MD PA NPI 1871878876


NPI Information

NPI: 1871878876
Provider Name: MICHAEL H BOOTHBY, MD, PA

Doing Business As: THE ORTHOPEDIC AND SPORTS MEDICINE INSTITUTE

Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

Address:
6049 S HULEN ST STE A
FORT WORTH, TX
ZIP 76132
Phone: (817) 529-1900
Get Directions

MICHAEL H BOOTHBY, MD, PA is a sports medicine orthopaedic surgery in Fort Worth, TX. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. MICHAEL H BOOTHBY, MD, PA NPI is 1871878876. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Orthopedic And Sports Medicine Institute.

The provider's business location address is:

6049 S HULEN ST STE A
FORT WORTH, TX
ZIP 76132-815
Phone: (817) 529-1900
Fax: (817) 529-1910

The provider's authorized official is Michael H Boothby .
The authorized official title is Owner and has the following contact phone number (817) 739-5663.

The enumeration date for this NPI number is 10/21/2011 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0005XOrthopaedic SurgerySports MedicineM1030TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18V9720OTHERBCBS
21669419743OTHERTEXASINDIVIDUAL NPI
3M1030OTHERTEXASLICENSE
4182488001MEDICAIDTEXAS
5A0140043OTHERTEXASDPS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.