1P410 SPORTS PERFORMANCE


Address: 7 Player Grove Ct, The Woodlands, TX 77382-2124
Phone: 8327915954

1P410 SPORTS PERFORMANCE (NPI# 1588070528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588070528
Entity Type Organization
Organization Name 1P410 SPORTS PERFORMANCE
Other Organization Name ATHLETIC REPUBLIC-THE WOODLANDS
Practice Address 7 Player Grove Ct
The Woodlands
TX 77382-2124
Practice Telephone 8327915954
Enumeration Date 2014-07-10
Last Update Date 2014-07-10
Authorized Official Name DR. DERRICK RAYMER (DIRECTOR OF SPORTS PERFORMANCE)
Authorized Official Telephone 8327915954
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111NS0005X Chiropractor
Specialization: Sports Physician
12247 TX Chiropractic Providers

Other Provider/Organization Names

Other Name Type Code
Athletic Republic-The Woodlands Doing Business As Name - Organization

Office Location

Street Address 7 PLAYER GROVE CT
City THE WOODLANDS
State TX
Zip Code 77382-2124

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316461304 Cns Neueospinemonitoring Pllc Psychiatry & Neurology 26 E. Loftwood Cir, The Woodlands, TX 77382 2017-08-01
1538510581 Michael Guzman Dentist 8000 Mcbeth Way Ste 145, The Woodlands, TX 77382 2016-06-30
1235486721 Priority Emergency Physicians- The Woodlands Pllc Emergency Medicine 3759 Fm 1488, The Woodlands, TX 77382 2012-08-14
1386907616 Priority Emergency Room-the Woodlands,llc Emergency Medicine 3759 Fm 1488 Suite 500, The Woodlands, TX 77382 2012-06-21
1801177597 Adrienne Archidiacono Dentist 6702 Sterling Ridge Dr, The Woodlands, TX 77382 2011-09-08
1881989788 Kristi A Sikes Psychiatry & Neurology 6707 Sterling Ridge Drive, Suite C, The Woodlands, TX 77382 2011-06-20
1053548891 Amit B Mori Internal Medicine 6900 Lake Woodlands Dr Apt 511, The Woodlands, TX 77382 2009-06-19
1467601930 Marina Kamyshin Physician Assistant 8000 Research Forest Dr Ste 360, The Woodlands, TX 77382 2008-09-09
1841467974 Steven Dominic Wright Specialist/Technologist, Other 6767 Lakewoodlands Dr, Spring, TX 77382 2008-05-08
1902096829 Annette L. Franques Speech-Language Pathologist 17200 St. Lukes Way, The Woodlands, TX 77382 2007-07-26
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Taxonomy Information

Taxonomy Code 111NS0005X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Sports Physician

Taxonomy Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427438548 Derrick Raymer Chiropractor 8101 Kuykendahl Rd Ste 100, The Woodlands, TX 77382-1563 2015-06-03
1083989768 Abiel E. Gonzalez IIi Chiropractor 25275 Budde Rd Ste 6, The Woodlands, TX 77380-2287 2012-03-14
1093058174 Joshua Eugene Brown Chiropractor 25275 Budde Rd, Suite #27, The Woodlands, TX 77380-2285 2013-03-27
1124326848 Joshua Robert Akerman Chiropractor 3101 College Park Dr, The Woodlands, TX 77384-4099 2011-03-03
1942488192 Helton Chiropractic Center Pa Chiropractor 9004 Forest Xing, Ste. C, The Woodlands, TX 77381-1197 2008-02-08
1366504748 Larin B Perkins Chiropractor 3115 College Park Dr, #102, The Woodlands, TX 77384-4000 2006-12-14
1013095546 Glenn Edward Helton Chiropractor 9004 Forest Xing, Ste.c, The Woodlands, TX 77381-1197 2006-11-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790385391 South Texas Sports Chiropractic Chiropractor 6635 S Staples St Apt 1815, Corpus Christi, TX 78413-5417 2020-11-01
1740806819 Dannug Management, LLC Chiropractor 9720 Cypresswood Dr Ste 130, Houston, TX 77070-3557 2020-06-24
1134742125 Kayla Keck Chiropractor 7200 Meadow Hill Dr, Frisco, TX 75033-2031 2020-05-25
1942821368 Stark Chiropractic & Sports, Pllc Chiropractor 5625 Fm 1960 Rd W Ste 400, Houston, TX 77069-4211 2020-04-27
1558994996 Scott David Kimbell Chiropractor 3303 Northland Dr Ste 301, Austin, TX 78731-4956 2020-02-13
1194356394 Kali Mccormick Chiropractor 4570 Fm 720, Aubrey, TX 76227-8256 2020-01-28
1467001958 Catalyst Hl&p, LLC. Chiropractor 5177 Richmond Ave Ste 110, Houston, TX 77056-6764 2019-09-06
1487219101 Moriam Adigun Chiropractor 747 N Shepherd Dr, Houston, TX 77007-1335 2019-05-08
1528534518 Eric Trager Chiropractor 5530 Ih 35 S, New Braunfels, TX 78132-4945 2018-10-17
1780150797 The Pit Fitness & Rehab Chiropractor 324 E Belt Line Rd Ste 800, Desoto, TX 75115-5706 2018-10-17
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Competitor

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City THE WOODLANDS
Zip Code 77382

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Dataset Information

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.

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