SPORTS AND BACK REHABILIATION
NPI 1508115056
Clinic/Center - Physical Therapy in Langhorne, PA

Active since August 30, 2012
370 E MAPLE AVE, SUITE 103, LANGHORNE, PA 19047(215) 752-4553(215) 752-0703 Get Directions Write a Review

NPPES record last updated: August 30, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sports And Back Rehabiliation NPPES

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

SPORTS AND BACK REHABILIATION (NPI 1508115056) is a healthcare organization registered as a physical therapy in Langhorne, Pennsylvania and active in the NPI registry since August 2012. The organization lists Jacqueline M Borman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508115056
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameSPORTS AND BACK PT LLC
Location Address370 E MAPLE AVE, SUITE 103Langhorne, PA 19047-2859
Mailing Address370 E Maple Ave, Suite 103Langhorne, PA 19047-2859 · (215) 752-4553 · Fax (215) 752-0703
Fax(215) 752-0703
Organization SubpartNo
Authorized OfficialJacqueline M BormanCeo · (215) 752-4553
Enumeration DateAugust 30, 2012
✔ NPI 1508115056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
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.
370 E MAPLE AVE, Langhorne, PA 19047

Other Names 1

Doing Business AsSports And Back Rehabiliation

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sports And Back Rehabiliation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20121130000021Non-DME Part B · Physical/Occupational Therapy Group in Private PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Sports And Back Rehabiliation, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Physical Therapist in Private Practice
NPI 1114039120
370 E MAPLE AVE SUITE 103
Langhorne, PA 19047
(215) 752-4553
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1184667297
370 E MAPLE AVE SUITE 103
Langhorne, PA 19047
(215) 752-4553
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1336780261
3170 SPRING HOUSE LN
Holland, PA 18966
(267) 210-9538
2.8 mi
Physical Therapist in Private Practice
NPI 1952707614
1265 WAYNE AVE STE 308 119 PROFESSIONAL BUILDING
Indiana, PA 15701
(724) 801-8095
✔ Accepts Medicare226 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 Sports And Back Pt LLC's NPI number?

The NPI number for Sports And Back Pt LLC is 1508115056. It was assigned to this organization in the NPPES registry on August 30, 2012. The provider is doing business as Sports And Back Rehabiliation.

Where is Sports And Back Pt LLC located?

Sports And Back Pt LLC is located at 370 E Maple Ave Suite 103, Langhorne, PA 19047. The listed phone number is (215) 752-4553.

What is Sports And Back Pt LLC's specialty?

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

Is Sports And Back Pt LLC enrolled in Medicare?

Yes. Sports And Back Pt LLC is registered in the Medicare PECOS enrollment system.

When is Sports And Back Pt LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Sports And Back Pt LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Sports And Back Pt LLC. 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, 2 practice at this address and 3 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 Sports And Back Pt LLC was last updated on August 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.