Sport Is Religion

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SPORT IS RELIGION

Practice address

8641 Las Vegas CT Apt 2722
Fort Worth, TX 76116-0044

Phone

(682) 785-7348

NPI assigned

Apr 9, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Breanna N Edwards

Title

Director of Operations

Phone

(682) 785-7348

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1093334039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8641 LAS VEGAS CT APT 2722",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761160044",
            "telephone_number": "682-785-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8641 LAS VEGAS CT APT 2722",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761160044",
            "telephone_number": "682-785-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT IS RELIGION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "682-785-7348",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "xclusivebilling.com",
            "affiliation": "N",
            "endpointDescription": "Xclusive Billing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8641 Las Vegas Ct Apt 2722",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761160044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Spivey Literacy Solution LLC
• David L. Spivey, D.O.
• Jordan Spivey
• Kendall Ann Spivey, DO
• Splendid Transcare LLC
• Sportcare Rehabilitation Inc (Sportcare Physical Therapy)
• Sportherapy LLC
• Sportherapy Southwest, PC
• Sports Rehabilitation Specialists, Inc
• Sports Therapy and Rehabilitation Services

• Specialist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.