SOUTHLAKE SPORTS & SPINE REHAB PLLC
NPI 1497048730
Physical Therapist in Southlake, TX
NPI Status: Active since May 19, 2011
Contact Information
1050 E HIGHWAY 114
SUITE 110
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 491-4775
- Organization
- Physical Therapist
- CLIA Number: 45D2073435
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-18-2028
About SOUTHLAKE SPORTS & SPINE REHAB PLLC
This page provides the complete NPI Profile along with additional information for Southlake Sports & Spine Rehab Pllc, a provider established in Southlake, Texas operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1497048730 assigned on May 2011. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Joel Dean Judd Pt, Mpt, Ocs (Owner)
- NPI
- 1497048730
- Provider Name
- SOUTHLAKE SPORTS & SPINE REHAB PLLC
- Entity Type
- Organization
- Location Address
- 1050 E HIGHWAY 114 SUITE 110 SOUTHLAKE, TX 76092
- Location Phone
- (817) 491-4775
- Mailing Address
- 1109 CHURCH ST COLLEYVILLE, TX 76034
- Mailing Phone
- (817) 498-3919
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-19-2011
- Last Update Date
- 05-19-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy Description
- Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2073435
- Facility Type
- Physician Office
- Certificate Effective Date
- February 19, 2026
- Certificate Expiration Date
- February 18, 2028
- Laboratory Director
- ERIC I. RAY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southlake Sports & Spine Rehab Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SOUTHLAKE SPORTS & SPINE REHAB PLLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1497048730, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497048730, enumerated as an "organization" on May 19, 2011.
The provider is located at 1050 E HIGHWAY 114 SUITE 110 SOUTHLAKE, TX 76092 and the phone number is (817) 491-4775.
Physical Therapist with taxonomy code 225100000X.
