SPORTS, BACK & PAIN MANGEMENT CLINIC
SPORTS, BACK & PAIN MANGEMENT CLINIC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1275786469, based in Bryan, TX. The organization lists 6 taxonomy classifications, with Orthopedic Physical Therapist recorded as primary.
Getting there
The practice address on file is 2011 #A VILLA MARIA RD, Bryan, TX 77802. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 1055085 | TX | Orthopedic Physical Therapist primary |
| 1055085 | TX | Physical Therapist |
| 1055085 | TX | Clinical Electrophysiology Physical… |
| 1055085 | TX | Geriatric Physical Therapist |
| 1055085 | TX | Human Factors Physical Therapist |
| 1055085 | TX | Sports Physical Therapist |
This provider holds licence 1055085 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 8729144605
- Enrollment ID
- O20090227000502
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Orthopedic covers
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. NUCC Health Care Provider Taxonomy, code 2251X0800X
All registered taxonomy codes
This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2251X0800X | Orthopedic Physical Therapist Orthopedic | 1055085 | TX | primary |
| 225100000X | Physical Therapist | 1055085 | TX | |
| 2251E1300X | Clinical Electrophysiology Physical Therapist Electrophysiology, Clinical | 1055085 | TX | |
| 2251G0304X | Geriatric Physical Therapist Geriatrics | 1055085 | TX | |
| 2251H1300X | Human Factors Physical Therapist Human Factors | 1055085 | TX | |
| 2251S0007X | Sports Physical Therapist Sports | 1055085 | TX |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1275786469 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Oct 31, 2008 |
| Last updated | Oct 31, 2008 |
| Status | Active |
| Practice address |
2011 #A VILLA MARIA RD Bryan, TX 77802 (979) 776-2225 Fax (979) 776-7945 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 7 | 5 | 7 | 8 | 6 | 4 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 5 | 5 | 5 | 8 | 3 | 4 | 3 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.