OUTPATIENT SPORTS AND SPINE REHABILITATION. LLC (NPI# 1386642650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386642650 |
| Entity Type | Organization |
| Organization Name | OUTPATIENT SPORTS AND SPINE REHABILITATION. LLC |
| Other Organization Name | THE INSTITUTE FOR SPORTS AND SPINE REHABILITATION |
| Practice Address |
1101 Ohio Dr Suite 110 Plano TX 75093-5330 |
| Practice Telephone | 9729852622 |
| Practice Fax Number | 9729852630 |
| Mailing Telephone | 9729852622 |
| Mailing Fax Number | 9729852630 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2010-06-08 |
| Authorized Official Name | MRS. KRISTINE DOMINO STEVENS (FACILITY DIRECTOR) |
| Authorized Official Telephone | 9729852622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
651830000 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Institute for Sports and Spine Rehabilitation | Doing Business As Name - Organization |
| Street Address |
1101 OHIO DR SUITE 110 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-5330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639526528 | Darya Tronina Zhelezkov | Physical Therapist | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2016-05-20 |
| 1447697883 | Matthew David Dunn | Physical Therapist | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2013-05-24 |
| 1306937073 | Rachel Ortigo Jillson | Physical Therapist | 1101 Ohio Dr, Ste 110, Plano, TX 75093-5330 | 2006-09-27 |
| 1942301064 | Andrea Marie Domino | Physical Therapist | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2006-09-25 |
| 1245344522 | Corey Taylor Smith | Specialist/Technologist | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2006-08-17 |
| 1013020858 | Kendra Lee Pike | Physical Therapist | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2006-08-16 |
| 1922010412 | Robert Ray Luedtke | Specialist/Technologist | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2006-08-12 |
| 1942211768 | Elizabeth W Zeigler | Physical Therapist | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2006-08-10 |
| 1457360125 | Kristine Domino Stevens | Specialist/Technologist | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2006-08-05 |
| 1972556629 | Covenant Hand Therapy PC | Prosthetic/Orthotic Supplier | 1101 Ohio Dr, Ste 105, Plano, TX 75093 | 2006-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306419 | Victory Wellness Pllc | Clinic/Center | 7209 Fair Valley Way, Plano, TX 75024-3487 | 2020-11-02 |
| 1609488691 | Agilitas Usa, Inc | Clinic/Center | 1921 Preston Rd Ste 2074, Plano, TX 75093-5124 | 2020-08-20 |
| 1255709622 | Arm Therapies Dba | Clinic/Center | 2500 Dallas Pkwy, Suite 111, Plano, TX 75093-4867 | 2015-09-02 |
| 1447686449 | Rosipal Institute for Pelvic Therapy Solutions, Pllc | Clinic/Center | 5136 Village Creek Dr Ste 502, Plano, TX 75093-4460 | 2013-09-23 |
| 1962551341 | Physiotherapy Associates Inc | Clinic/Center | 4709 W Parker Rd Ste 515, Plano, TX 75093-3382 | 2007-01-09 |
| 1194757666 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 701 E. Plano Parkway, Suite 103, Plano, TX 75074 | 2006-07-07 |
| 1891308763 | Ethicus Hospital Dfw, LLC | Clinic/Center | 3405 Midway Rd, Plano, TX 75093-8138 | 2020-08-28 |
| 1134739865 | Andy Qifeng Lin | Clinic/Center | 1300 N Central Expy, Plano, TX 75074-1009 | 2020-08-06 |
| 1164937116 | Concentra Health Services | Clinic/Center | 6573 Headquarters Dr, Plano, TX 75024 | 2017-12-12 |
| 1700250701 | Jones Elite Athletes LLC | Clinic/Center | 3209 Premier Dr, Suite 109, Plano, TX 75075-2355 | 2015-11-14 |
| Find all providers in PLANO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.