Sports, Back & Pain Mangement Clinic - Medicare Physical Therapist in Bryan, TX

Sports, Back & Pain Mangement Clinic is a medicare enrolled "Physical Therapist - Orthopedic" provider in Bryan, Texas. Their current practice location is 2011 #a Villa Maria Rd, Bryan, Texas. You can reach out to their office (for appointments etc.) via phone at (979) 776-2225.

Sports, Back & Pain Mangement Clinic is licensed to practice in Texas (license number 1055085) and it also participates in the medicare program. Sports, Back & Pain Mangement Clinic is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1275786469.

Contact Information

Sports, Back & Pain Mangement Clinic
2011 #a Villa Maria Rd,
Bryan, TX 77802-2541
(979) 776-2225
(979) 776-7945

Map and Direction




Healthcare Provider's Profile

Full NameSports, Back & Pain Mangement Clinic
TypeFacility
SpecialityPhysical Therapist - Orthopedic
Location2011 #a Villa Maria Rd, Bryan, Texas
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275786469
  • Provider Enumeration Date: 10/31/2008
  • Last Update Date: 10/31/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8729144605
  • Enrollment ID: O20090227000502

Medical Identifiers

Medical identifiers for Sports, Back & Pain Mangement Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275786469NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 1055085 (Texas)Secondary
2251E1300XPhysical Therapist - Electrophysiology, Clinical 1055085 (Texas)Secondary
2251G0304XPhysical Therapist - Geriatrics 1055085 (Texas)Secondary
2251H1300XPhysical Therapist - Human Factors 1055085 (Texas)Secondary
2251S0007XPhysical Therapist - Sports 1055085 (Texas)Secondary
2251X0800XPhysical Therapist - Orthopedic 1055085 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sports, Back & Pain Mangement Clinic acts as a billing entity for following providers:
Provider NameLeon F Bradway
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932179306
PECOS PAC ID: 6800952789
Enrollment ID: I20090302000032

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. Sports, Back & Pain Mangement Clinic is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sports, Back & Pain Mangement Clinic
2011 #a Villa Maria Rd,
Bryan, TX 77802-2541

Ph: (979) 776-2225
Sports, Back & Pain Mangement Clinic
2011 #a Villa Maria Rd,
Bryan, TX 77802-2541

Ph: (979) 776-2225

Reviews and Comments


Physical Therapist in Bryan, TX

Aaron Erwin Foreman, P.T.,C.P.O.
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Mrs. Melissa None Merritt, PT, CHT
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Practice Location: 3201 University Dr E, Suite 415, Bryan, TX 77802
Phone: 919-776-5533    
Jeffrey Jisung Kim, PT DPT
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Phone: 979-774-9958    Fax: 979-774-9978
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Medicare: Not Enrolled in Medicare
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Phone: 979-776-8896    

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.