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ATHELITE ORTHOPEDICS AND SPORTS MEDICINE, LLC
NPI 1417287970
Orthopaedic Surgery - Foot and Ankle Surgery in Bloomington, IN

Active since January 06, 2010
365 S PARK RIDGE RD, SUITE 102, BLOOMINGTON, IN 47401(812) 822-2675(812) 822-2679 Get Directions Write a Review

NPPES record last updated: January 6, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Athelite Orthopedics And Sports Medicine, Llc NPPES

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

ATHELITE ORTHOPEDICS AND SPORTS MEDICINE, LLC (NPI 1417287970) is a healthcare organization registered as a foot and ankle surgery in Bloomington, Indiana and active in the NPI registry since January 2010. The organization lists Douglas Alan Flory, Member, as its authorized official.

NPPES Registry Identity

NPI1417287970
Entity TypeOrganization
Primary Taxonomy207XX0004X
Legal Business NameATHELITE ORTHOPEDICS AND SPORTS MEDICINE, LLC
Location Address365 S PARK RIDGE RD, SUITE 102Bloomington, IN 47401-8361
Mailing Address365 S Park Ridge Rd, Suite 102Bloomington, IN 47401-8361 · (812) 822-2675 · Fax (812) 822-2679
Phone(812) 822-2675
Fax(812) 822-2679
Organization SubpartNo
Authorized OfficialDouglas Alan FloryMember · (812) 822-2675
Enumeration DateJanuary 6, 2010
✔ NPI 1417287970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XX0004X
License✔ Licensed in IN · 1052068
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
365 S PARK RIDGE RD, Bloomington, IN 47401
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Other Identifiers 3

Medicare UPING34814
Medicaid200272920IN
Medicare PIN151040IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Athelite Orthopedics And Sports Medicine, LLC's NPI number?

The NPI number for Athelite Orthopedics And Sports Medicine, LLC is 1417287970. It was assigned to this organization in the NPPES registry on January 6, 2010.

Where is Athelite Orthopedics And Sports Medicine, LLC located?

Athelite Orthopedics And Sports Medicine, LLC is located at 365 S Park Ridge Rd Suite 102, Bloomington, IN 47401. The listed phone number is (812) 822-2675.

What is Athelite Orthopedics And Sports Medicine, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

When was this NPI record last updated?

The NPPES record for Athelite Orthopedics And Sports Medicine, LLC was last updated on January 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.