OP MEDICAL LLC
NPI 1144452582
Pain Medicine - Interventional Pain Medicine in Port Orange, FL

Active since August 19, 2009CLIA 10D2006233 · Waiver
1515 HERBERT ST, STE 209, PORT ORANGE, FL 32129(386) 366-9119 Get Directions Write a Review

NPPES record last updated: August 19, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Op Medical Llc NPPES

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

OP MEDICAL LLC (NPI 1144452582) is a healthcare organization registered as an interventional pain medicine in Port Orange, Florida and active in the NPI registry since August 2009. The organization holds a CLIA Waiver certificate valid through April 14, 2028 and lists Andrew Joseph Ottaviani, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1144452582
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameOP MEDICAL LLC
Location Address1515 HERBERT ST, STE 209Port Orange, FL 32129-6104
Mailing Address1515 Herbert St, Ste 209Port Orange, FL 32129-6104 · (386) 366-9119
Organization SubpartNo
Authorized OfficialAndrew Joseph OttavianiClinic Director · (386) 366-9119
Enumeration DateAugust 19, 2009
NPI 1144452582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in FL · ME0067232
Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

1515 HERBERT ST, Port Orange, FL 32129

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 10D2006233

Op Medical LLC · Port Orange, FL
Active · expires Apr 14, 2028
CLIA Number10D2006233
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorAnthony C. Picchiello
Laboratory Phone(386) 366-9119
Laboratory LocationOp Medical LLC1515 Herbert St Ste 209, Port Orange, FL 32129
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Home Health
1515 HERBERT ST, SUITE 210
PORT ORANGE, FL 32129
Eyewear Supplier
1515 HERBERT ST, SUITE 208
PORT ORANGE, FL 32129
Chiropractor
1515 HERBERT ST, SUITE 209
PORT ORANGE, FL 32129
Home Health
1515 HERBERT ST, SUITE 210
PORT ORANGE, FL 32129
Clinic/Center
1515 HERBERT ST, SUITE 208
PORT ORANGE, FL 32129

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Op Medical LLC's NPI number?

The NPI number for Op Medical LLC is 1144452582. It was assigned to this organization in the NPPES registry on August 19, 2009.

Where is Op Medical LLC located?

Op Medical LLC is located at 1515 Herbert St Ste 209, Port Orange, FL 32129. The listed phone number is (386) 366-9119.

What is Op Medical LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Op Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2006233) is associated with this NPI, valid through April 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Op Medical LLC was last updated on August 19, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.