OPTIMAL SPINE AND SPORTS MEDICINE PLLC
NPI 1669162475
Chiropractor in Houston, TX
About Optimal Spine And Sports Medicine Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPTIMAL SPINE AND SPORTS MEDICINE PLLC (NPI 1669162475) is a healthcare organization registered as a chiropractor in Houston, Texas and active in the NPI registry since May 2023. The organization lists Kenneth R Haywood, Chiropractor/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Optimal Spine And Sports Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Optimal Spine And Sports Medicine PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Optimal Spine And Sports Medicine PLLC's NPI number?
The NPI number for Optimal Spine And Sports Medicine PLLC is 1669162475. It was assigned to this organization in the NPPES registry on May 15, 2023.
Where is Optimal Spine And Sports Medicine PLLC located?
Optimal Spine And Sports Medicine PLLC is located at 6212 N Main St Ste C, Houston, TX 77009. The listed phone number is (830) 688-9651.
What is Optimal Spine And Sports Medicine PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Optimal Spine And Sports Medicine PLLC enrolled in Medicare?
Yes. Optimal Spine And Sports Medicine PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Optimal Spine And Sports Medicine PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Optimal Spine And Sports Medicine PLLC. 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 Optimal Spine And Sports Medicine PLLC was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Optimal Spine And Sports Medicine Pllc · NPI 1669162475
Chiropractor organization in Houston, Texas. Organization record, active in the CMS NPPES registry since May 15, 2023.
## Identity
- **NPI:** 1669162475 (Entity type: Organization)
- **Enumerated:** May 15, 2023
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Kenneth Haywood, CHIROPRACTOR/OWNER
## Practice location
- **Address:** 6212 N MAIN ST STE C, Houston, TX 77009-2496
- **Phone:** (830) 688-9651
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1669162475) · Data from the CMS NPPES public registry.