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Biosport Physical Therapy Inc

NPI 1619857273ActiveOrganization· Physical Therapist· Manteca, CA

Physical Therapist in Manteca, California, registered in NPPES in September 2025, part of Biosport Physical Therapy Inc. The authorized official on file is Alexander Edward Stavrianoudakis, DPT, Doctor Of Physical Therapy/Co-Owner.

Overview

NPI1619857273
StatusActive
Entity typeOrganization (subpart)
Parent organizationBiosport Physical Therapy Inc
NPI issuedSep 4, 2025
Last updated in NPPESSep 4, 2025
Certified by providerSep 4, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other physical therapists in Manteca

All 46 physical therapists in Manteca · All physical therapists in California