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BIOSPORT PHYSICAL THERAPY INC
NPI 1104127554
Clinic/Center - Physical Therapy in Modesto, CA

Active since November 16, 2010
4341 SPYRES WAY, MODESTO, CA 95356(209) 524-7488(209) 522-7488 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Biosport Physical Therapy Inc NPPES

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

BIOSPORT PHYSICAL THERAPY INC (NPI 1104127554) is a healthcare organization registered as a physical therapy in Modesto, California and active in the NPI registry since November 2010. The organization lists Leovardo Chavez, Physical Therapist / President, as its authorized official.

NPPES Registry Identity

NPI1104127554
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameBIOSPORT PHYSICAL THERAPY INC
Location Address4341 SPYRES WAYModesto, CA 95356-9259
Mailing AddressPo Box 576751Modesto, CA 95357-6751 · (209) 524-7488 · Fax (209) 522-7488
Phone(209) 524-7488
Fax(209) 522-7488
Organization SubpartNo
Authorized OfficialLeovardo ChavezPhysical Therapist / President · (209) 524-7488
Enumeration DateNovember 16, 2010
Last NPPES UpdateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
✔ NPI 1104127554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License✔ Licensed in CA · 27941
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
4341 SPYRES WAY, Modesto, CA 95356
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Biosport Physical Therapy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Biosport Physical Therapy Inc, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Karandeep Gill
Physical Therapist in Private Practice
NPI 1598367831
4341 SPYRES WAY
Modesto, CA 95356
(209) 524-7488
✔ Accepts MedicareSame address
Brittanie Brantley, PT, DPT
Physical Therapist in Private Practice
NPI 1578301768
4341 SPYRES WAY
Modesto, CA 95356
(209) 524-7488
✔ Accepts MedicareSame address
Kevin Marquez, DPT
Physical Therapist in Private Practice
NPI 1891658340
4341 SPYRES WAY
Modesto, CA 95356
(209) 524-7488
✔ Accepts MedicareSame address
Amanda Rickman
Physical Therapist in Private Practice
NPI 1811757545
4341 SPYRES WAY
Modesto, CA 95356
(209) 524-7488
✔ Accepts MedicareSame address
Rain Taganas, DPT
Physical Therapist in Private Practice
NPI 1487514261
4341 SPYRES WAY
Modesto, CA 95356
(209) 524-7488
✔ Accepts MedicareSame address
Timothy Fernandes, DPT
Physical Therapist in Private Practice
NPI 1487848966
1524 MCHENRY AVE STE 330
Modesto, CA 95350
(209) 722-4842
✔ Accepts Medicare2.5 mi
Sean Fjellstrom, DPT
Physical Therapist in Private Practice
NPI 1467283838
2100 W MONTE VISTA AVE
Turlock, CA 95382
(209) 581-7944
✔ Accepts Medicare14 mi
Alexander Stavrianoudakis, DPT
Physical Therapist in Private Practice
NPI 1245743970
2303 GEER RD
Turlock, CA 95382
(209) 585-4100
✔ Accepts Medicare15 mi
Celeste Tafolla
Physical Therapist in Private Practice
NPI 1871317271
1700 KEYSTONE PACIFIC PKWY UNIT C2
Patterson, CA 95363
(209) 895-4206
✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Biosport Physical Therapy Inc's NPI number?

The NPI number for Biosport Physical Therapy Inc is 1104127554. It was assigned to this organization in the NPPES registry on November 16, 2010.

Where is Biosport Physical Therapy Inc located?

Biosport Physical Therapy Inc is located at 4341 Spyres Way, Modesto, CA 95356. The listed phone number is (209) 524-7488.

What is Biosport Physical Therapy Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Biosport Physical Therapy Inc enrolled in Medicare?

Yes. Biosport Physical Therapy Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Biosport Physical Therapy Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Biosport Physical Therapy Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Biosport Physical Therapy Inc was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.