Sports and Spine Therapy, Inc.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

SPORTS AND SPINE THERAPY, INC.

Practice address

7830 N Central Expy
Dallas, TX 75206-1902

Phone

(214) 739-2225

Fax

(214) 739-2228

NPI assigned

Jul 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Todd Petersen, DC, OPA-C, CCSP, ATCNPI 1811917172

Title

Proprietor

Phone

(214) 739-2225

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Todd Petersen, DC, OPAC, ATC, LAT

  • Sports Physician Chiropractor
  • Dallas, TX
  • NPI 1811917172
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1033316039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061902",
            "telephone_number": "214-739-2225",
            "fax_number": "214-739-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061902",
            "telephone_number": "214-739-2225",
            "fax_number": "214-739-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS AND SPINE THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "214-739-2225",
        "authorized_official_credential": "DC, OPA-C, CCSP, ATC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AS200",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steve W Spohr, LPC
• Spoken for Speech and Language Therapy, PLLC
• Catherine Spong, MD
• Kimberly M Spoonts, M.D.
• Sports & Orthopaedic Group of Dallas
• Sports Med City Centre
• Sports Physicians Orthopedics and Rehabilitation of Texas
• Sports, Physicians, Orthopedics, and Rehabilitation of Texas
• Sportsmedcentral
• Pamela D Spraberry, R.PH.

• Sports Physician Chiropractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Sports Physician Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.