Sports, Back & Pain Mangement Clinic
NPI 1275786469ActiveOrganization· Physical Therapist, Orthopedic· Bryan, TX
Physical Therapist, Orthopedic in Bryan, Texas, registered in NPPES in October 2008. The authorized official on file is Leon F. Bradway, Physical Therapist.
Overview
| NPI | 1275786469 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 31, 2008 |
| Last updated in NPPES | Oct 31, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | 1055085 | TX |
| Physical Therapist | 225100000X | 1055085 | TX |
| Physical Therapist, Electrophysiology, Clinical | 2251E1300X | 1055085 | TX |
| Physical Therapist, Geriatrics | 2251G0304X | 1055085 | TX |
| Physical Therapist, Human Factors | 2251H1300X | 1055085 | TX |
| Physical Therapist, Sports | 2251S0007X | 1055085 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other orthopedic physical therapists in Bryan
- 1518430883