Organization Active NPI

Apex Sports Medicine and Rehabilitation Associates, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Sherman, TX
National Provider Identifier
1174653695
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
649440000 Issued in TX
Legal business name
APEX SPORTS MEDICINE AND REHABILITATION ASSOCIATES, INC.
Practice address
2114 Texoma Pkwy
650
Sherman, TX 75090-2683
Phone
(903) 813-1551
Fax
(903) 813-1725
NPI assigned
Mar 6, 2007
Last updated
Sep 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Ryan D. Klement, PTNPI 1790710713
Title
Owner
Phone
(903) 813-1551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 649440000 TX Primary
Physical Therapist 225100000X 649440000 TX

Addresses

Primary practice location

2114 Texoma Pkwy
650
Sherman, TX 75090-2683

Mailing address

2114 Texoma Pkwy
650
Sherman, TX 75090-2683
Phone (903) 813-1551

Other identifiers 1

IdentifierTypeStateIssuer
0015JCOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040528000431 TX Part B Supplier - Clinic/Group Practice 2769463330 Receives reassigned benefits from 3 practitioners
Practice locations: Sherman, TX

National Provider Directory

National Provider Directory

Locations

1501 Union Ave
Ste C
Moberly, MO 65270
Phone (660) 263-4737

1920 N Grand Ave
Sherman, TX 75090
Phone (903) 813-1551

2114 Texoma Pkwy
Ste 650
Sherman, TX 75090
Phone (903) 813-1551

809 N Union St
Whitesboro, TX 76273
Phone (903) 564-4300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1174653695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 TEXOMA PKWY",
            "address_2": "650",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902683",
            "telephone_number": "903-813-1551",
            "fax_number": "903-813-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 TEXOMA PKWY",
            "address_2": "650",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902683",
            "telephone_number": "903-813-1551",
            "fax_number": "903-813-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX SPORTS MEDICINE AND REHABILITATION ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "KLEMENT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-813-1551",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "649440000",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "649440000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0015JC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.