SPORTS, BACK & PAIN MANGEMENT CLINIC
NPI 1275786469
Physical Therapist - Orthopedic in Bryan, TX

Q: What is Sports, Back & Pain Mangement Clinic's NPI number?

The NPI number for Sports, Back & Pain Mangement Clinic is 1275786469. It was assigned to this organization in the NPPES registry on October 31, 2008.

Q: What is Sports, Back & Pain Mangement Clinic's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Active since October 31, 2008

2011 #A VILLA MARIA RD, BRYAN, TX 77802(979) 776-2225(979) 776-7945 Get Directions Write a Review

NPPES record last updated: October 31, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sports, Back & Pain Mangement Clinic NPPES

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

SPORTS, BACK & PAIN MANGEMENT CLINIC (NPI 1275786469) is a healthcare organization registered as an orthopedic in Bryan, Texas and active in the NPI registry since October 2008. The organization lists Leon F Bradway, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1275786469

Entity TypeOrganization

Primary Taxonomy2251X0800X

Legal Business NameSPORTS, BACK & PAIN MANGEMENT CLINIC

Location Address2011 #A VILLA MARIA RDBryan, TX 77802-2541

Mailing Address2011 #a Villa Maria RdBryan, TX 77802-2541 · (979) 776-2225 · Fax (979) 776-7945

Phone(979) 776-2225

Fax(979) 776-7945

Organization SubpartNo

Authorized OfficialLeon F BradwayPhysical Therapist · (979) 776-2225

Enumeration DateOctober 31, 2008

✔ NPI 1275786469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in TX · 1055085

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Also ListedPhysical TherapistTaxonomy 225100000X · License 1055085 (TX)

Also ListedPhysical Therapist · Electrophysiology, ClinicalTaxonomy 2251E1300X · License 1055085 (TX)

Also ListedPhysical Therapist · GeriatricsTaxonomy 2251G0304X · License 1055085 (TX)

Also ListedPhysical Therapist · Human FactorsTaxonomy 2251H1300X · License 1055085 (TX)

Also ListedPhysical Therapist · SportsTaxonomy 2251S0007X · License 1055085 (TX)

2011 #A VILLA MARIA RD, Bryan, TX 77802

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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

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 Sports, Back & Pain Mangement Clinic's NPI number?

The NPI number for Sports, Back & Pain Mangement Clinic is 1275786469. It was assigned to this organization in the NPPES registry on October 31, 2008.

Where is Sports, Back & Pain Mangement Clinic located?

Sports, Back & Pain Mangement Clinic is located at 2011 #a Villa Maria Rd, Bryan, TX 77802. The listed phone number is (979) 776-2225.

What is Sports, Back & Pain Mangement Clinic's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

What insurance does Sports, Back & Pain Mangement Clinic accept?

Health plans from WellPoint list Sports, Back & Pain Mangement Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sports, Back & Pain Mangement Clinic was last updated on October 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.