BIOSPORT PHYSICAL THERAPY INC
NPI 1619857273
Physical Therapist in Manteca, CA

Active since September 04, 2025
1325 HISTORICAL PLAZA WAY, MANTECA, CA 95336(209) 524-7488(209) 522-7488 Get Directions Write a Review

NPPES record last updated: September 4, 2025. 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 1619857273) is a healthcare organization registered as a physical therapist in Manteca, California and active in the NPI registry since September 2025. The organization lists Alexander Edward Stavrianoudakis, Doctor Of Physical Therapy/co-owner, as its authorized official.

NPPES Registry Identity

NPI1619857273
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameBIOSPORT PHYSICAL THERAPY INC
Location Address1325 HISTORICAL PLAZA WAYManteca, CA 95336-5064
Mailing AddressPo Box 576751Modesto, CA 95357-6751 · (209) 524-7488 · Fax (209) 522-7488
Fax(209) 522-7488
Organization SubpartYes
Authorized OfficialAlexander Edward StavrianoudakisDoctor Of Physical Therapy/co-owner · (209) 620-5554
Enumeration DateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
✔ NPI 1619857273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1325 HISTORICAL PLAZA WAY, Manteca, CA 95336

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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. They are listed nearest first.

Clinicians, nearest first (9)

Physical Therapist in Private Practice
NPI 1578301768
4341 SPYRES WAY
Modesto, CA 95356
(209) 524-7488
✔ Accepts Medicare13 mi
Physical Therapist in Private Practice
NPI 1891658340
4341 SPYRES WAY
Modesto, CA 95356
(209) 524-7488
✔ Accepts Medicare13 mi
Physical Therapist in Private Practice
NPI 1811757545
4341 SPYRES WAY
Modesto, CA 95356
(209) 524-7488
✔ Accepts Medicare13 mi
Physical Therapist in Private Practice
NPI 1487514261
4341 SPYRES WAY
Modesto, CA 95356
(209) 524-7488
✔ Accepts Medicare13 mi
Physical Therapist in Private Practice
NPI 1598367831
4341 SPYRES WAY
Modesto, CA 95356
(209) 524-7488
✔ Accepts Medicare13 mi
Physical Therapist in Private Practice
NPI 1487848966
1524 MCHENRY AVE STE 330
Modesto, CA 95350
(209) 722-4842
✔ Accepts Medicare14 mi
Physical Therapist in Private Practice
NPI 1871317271
1700 KEYSTONE PACIFIC PKWY UNIT C2
Patterson, CA 95363
(209) 895-4206
✔ Accepts Medicare22 mi
Physical Therapist in Private Practice
NPI 1467283838
2100 W MONTE VISTA AVE
Turlock, CA 95382
(209) 581-7944
✔ Accepts Medicare26 mi
Physical Therapist in Private Practice
NPI 1245743970
2303 GEER RD
Turlock, CA 95382
(209) 585-4100
✔ Accepts Medicare27 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 1619857273. It was assigned to this organization in the NPPES registry on September 4, 2025.

Where is Biosport Physical Therapy Inc located?

Biosport Physical Therapy Inc is located at 1325 Historical Plaza Way, Manteca, CA 95336. The listed phone number is (209) 524-7488.

What is Biosport Physical Therapy Inc's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

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. 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 September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.