Southlake Sports & Spine Rehab Pllc - Physical Therapist in Southlake, TX

Southlake Sports & Spine Rehab Pllc is a Physical Therapist based in Southlake, Texas. Southlake Sports & Spine Rehab Pllc is licensed to practice in * (Not Available) (license number ) and their current practice location is 1050 E Highway 114, Suite 110, Southlake, Texas. It can be reached at their office (for appointments etc.) via phone at (817) 491-4775.

NPI number for Southlake Sports & Spine Rehab Pllc is 1497048730 and their current mailing address is 1109 Church St, Colleyville, Texas. Southlake Sports & Spine Rehab Pllc does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1497048730.

Contact Information

Southlake Sports & Spine Rehab Pllc
1050 E Highway 114, Suite 110,
Southlake, TX 76092-5253
(817) 491-4775
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSouthlake Sports & Spine Rehab Pllc
TypeFacility
SpecialityPhysical Therapist
Location1050 E Highway 114, Southlake, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1497048730
  • Provider Enumeration Date: 05/19/2011
  • Last Update Date: 05/19/2011

Medical Identifiers

Medical identifiers for Southlake Sports & Spine Rehab Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497048730NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Southlake Sports & Spine Rehab Pllc is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southlake Sports & Spine Rehab Pllc
1109 Church St,
Colleyville, TX 76034-5849

Ph: (817) 498-3919
Southlake Sports & Spine Rehab Pllc
1050 E Highway 114, Suite 110,
Southlake, TX 76092-5253

Ph: (817) 491-4775

Reviews and Comments


Physical Therapist in Southlake, TX

Erin Goebel, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1545 E Southlake Blvd Ste 100, Southlake, TX 76092
Phone: 817-442-9300    Fax: 817-416-0108
Mrs. Lisa Alice Redding, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1940 E State Highway 114, Suite 150, Southlake, TX 76092
Phone: 817-424-3668    Fax: 817-442-8637
Whitney Holmans, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092
Phone: 817-442-9300    Fax: 682-651-1909
Jennifer Merimonti, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 101 Watermere Dr., Southlake, TX 76092
Phone: 817-431-8668    
Kara Edgerton, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2813 W Southlake Blvd, Suite 110, Southlake, TX 76092
Phone: 817-310-8780    Fax: 817-310-8781
Raphael Augustus Sadiwa, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 180 State St Ste 225, Southlake, TX 76092
Phone: 866-839-6979    
Theresa J Adame-brooks, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1545 E Southlake Blvd Ste 100, Southlake, TX 76092
Phone: 817-442-9300    Fax: 817-416-0108

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.