Southlake Sports & Spine Rehab PLLC
NPI 1497048730ActiveOrganization· Physical Therapist· Southlake, TX
Physical Therapist in Southlake, Texas, registered in NPPES in May 2011. The authorized official on file is Joel Dean Judd, PT, MPT, OCS, Owner.
Overview
| NPI | 1497048730 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 19, 2011 |
| Last updated in NPPES | May 19, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
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