481 SPORTS MEDICINE, PLLC (NPI# 1649656000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649656000 |
| Entity Type | Organization |
| Organization Name | 481 SPORTS MEDICINE, PLLC |
| Other Organization Name | INNOVATIVE SPORTS MEDICINE |
| Practice Address |
481 S Katy Fort Bend Rd Suite 210 Katy TX 77494-0815 |
| Mailing Address |
1450 W Grand Pkwy S #g-414 Katy TX 77494-8286 |
| Practice Telephone | 2813949100 |
| Mailing Telephone | 2813949100 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-20 |
| Authorized Official Name | MR. JOHNATHON Y BOYD III (OWNER) |
| Authorized Official Telephone | 2813954121 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC5270 | TX | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Innovative Sports Medicine | Doing Business As Name - Organization |
| Street Address |
481 S KATY FORT BEND RD SUITE 210 |
| City | KATY |
| State | TX |
| Zip Code | 77494-0815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811230709 | Cesar A Longoria | Chiropractor | 481 S Katy Fort Bend Rd, 210, Katy, TX 77494-0815 | 2013-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880899 | Julie Dyan Meyers | Speech-Language Pathologist | 4747 Fm 1463 Suite 900, Katy, TX 77494 | 2020-08-03 |
| 1235763426 | Lucy J Pena | Technician | 28106 Sugarside Glen Dr, Katy, TX 77494 | 2020-02-26 |
| 1063042455 | Wonace LLC | Durable Medical Equipment & Medical Supplies | 2717 Commercial Blvd, E200, Katy, TX 77494 | 2020-01-24 |
| 1801431002 | Justin Lee Landers | Specialist/Technologist | 2818 Fair Chase, Katy, TX 77494 | 2019-11-12 |
| 1285276006 | Chrysalis Group LLC | Pharmacy | 1259 Fm 1463 Suite 700, Katy, TX 77494 | 2019-10-14 |
| 1033760400 | Aaron Moniotte | Pharmacist | 23331 Grand Reserve Dr, Katy, TX 77494 | 2019-09-26 |
| 1467001743 | Julie Hankinson | Technician | 4903 Surrey Park Circle, Katy, TX 77494 | 2019-09-09 |
| 1710532148 | Icome2u Nursing Providers Inc | Nurse Practitioner | 26307 Sundown Cove Lane, Katy, TX 77494 | 2019-08-02 |
| 1881252203 | Encompass Health Rehabilitation Hospital of Katy, LLC | Rehabilitation Hospital | 23331 Grand Reserve Drive, Katy, TX 77494 | 2019-05-31 |
| 1407312945 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 322 Cane Island Pkwy, Katy, TX 77494 | 2019-02-20 |
| Find all providers in zip 77494 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916298 | Thrive Katy Chiropractic LLC | Chiropractor | 25830 Westheimer Pkwy Ste 700, Katy, TX 77494-5377 | 2020-09-14 |
| 1578182432 | Christian William Marshall | Chiropractor | 1922 Pontius Dr, Katy, TX 77493-2753 | 2020-04-10 |
| 1851922413 | Chloe Tong | Chiropractor | 215 Leyden Ct, Katy, TX 77450-2111 | 2020-01-31 |
| 1497393870 | Carmen Danielle Doerr-nauth | Chiropractor | 23221 Red River Dr, Katy, TX 77494-2031 | 2019-12-16 |
| 1922645332 | Momentum Regenerative Medicine Pllc | Chiropractor | 2770 Fm 1463 Rd Ste 101b, Katy, TX 77494-7968 | 2019-12-04 |
| 1558915645 | Tn Mobile Chiropractic LLC | Chiropractor | 22101 Morton Ranch Rd, Katy, TX 77449-7819 | 2019-07-28 |
| 1265990527 | Legros Chiropractic & Rehab, Pllc | Chiropractor | 21927 Clay Rd, Suite 700, Katy, TX 77449 | 2019-03-06 |
| 1871057547 | Kimberlee Barnhart | Chiropractor | 5803 2nd St Ste 2, Katy, TX 77493-2781 | 2019-01-28 |
| 1841783263 | Logan Drew Snyder | Chiropractor | 21322a Provincial Blvd, Katy, TX 77450-7580 | 2018-06-11 |
| 1174023766 | Nathan Gomez | Chiropractor | 2211 Fry Rd Ste M, Katy, TX 77449-6233 | 2018-02-20 |
| Find all providers in KATY | ||||
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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.