Sidney Braddock, PHYSICAL THERAPIST
NPI 1144836891ActiveIndividual· Physical Therapist· Odessa, TX
Physical Therapist (PHYSICAL THERAPIST) with Optimus Physical Therapy and Orthosport Specialists PLLC, practicing in Odessa, Texas. Medicare paid $190,372 for services to 136 patients in 2024.
Overview
| NPI | 1144836891 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICAL THERAPIST |
| Sole proprietor | Yes |
| NPI issued | Sep 18, 2020 |
| Last updated in NPPES | Sep 21, 2020 |
| Certified by provider | Sep 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1105591 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 136 |
|---|---|
| Services billed | 11,046 across 10 procedure codes |
| Paid by Medicare | $190,372 |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Optimus Physical Therapy and Orthosport Specialists PLLCOdessa, TX · 3 clinicians
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All 58 physical therapists in Odessa · All physical therapists in Texas