ORTHO PLUS HOLDINGS LLC
NPI 1023788098
Orthopaedic Surgery - Sports Medicine in Oklahoma City, OK

Active since September 20, 2021CLIA 37D2301907 · Waiver
12301 S WESTERN AVE STE A3, OKLAHOMA CITY, OK 73170(405) 676-8643(405) 676-8644 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 25, 2024, Sep 20, 2021 (2 updates tracked since 2021).

About Ortho Plus Holdings Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORTHO PLUS HOLDINGS LLC (NPI 1023788098) is a healthcare organization registered as a sports medicine in Oklahoma City, Oklahoma and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through April 1, 2028 and lists Brent Keith Holliman, Manager / Owner, as its authorized official.

NPPES Registry Identity

NPI1023788098
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameORTHO PLUS HOLDINGS LLC
Location Address12301 S WESTERN AVE STE A3Oklahoma City, OK 73170-6085
Mailing Address301 Lilac Dr Ste 140Edmond, OK 73034-7288 · (405) 676-8643
Fax(405) 676-8644
Organization SubpartNo
Authorized OfficialBrent Keith HollimanManager / Owner · (405) 227-1280
Enumeration DateSeptember 20, 2021
Last NPPES UpdateApril 25, 20242 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
NPI 1023788098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Definition

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.

Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
12301 S WESTERN AVE STE A3, Oklahoma City, OK 73170

Other Identifiers 1

Medicaid200810750COK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2301907

Ortho Plus · Edmond, OK
Active · expires Apr 1, 2028
CLIA Number37D2301907
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorJason J. Jackson
Laboratory Phone(405) 850-7713
Laboratory LocationOrtho Plus941 W I-35 Frontage Rd, Bld 164, Edmond, OK 73034
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
12301 S WESTERN AVE STE A3
OKLAHOMA CITY, OK 73170
Orthopaedic Surgery (Sports Medicine)
12301 S WESTERN AVE STE A3
OKLAHOMA CITY, OK 73170
Physical Therapist
12301 S WESTERN AVE STE A3
OKLAHOMA CITY, OK 73170

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023788098, enumerated as an "organization" on September 20, 2021.

The provider is located at 12301 S WESTERN AVE STE A3 OKLAHOMA CITY, OK 73170 and the phone number is (405) 676-8643.

Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.