Sports & Spine Associates, P.a.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

H2890 Issued in TX

Legal business name

SPORTS & SPINE ASSOCIATES, P.A.

Practice address

7756 Northcross Dr
Suite 203
Austin, TX 78757-1735

Phone

(512) 358-0500

Fax

(512) 358-0520

NPI assigned

Jul 13, 2007

Last updated

May 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lori Beth Wasserburger, M.D.NPI 1033217450

Title

President

Phone

(512) 358-0500

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 4

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.

• Lori Beth Wasserburger, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Austin, TX
  • NPI 1033217450
  Authorized official Same address or phone
• Lynus Brown Jr., M.D.

  • Family Medicine Physician
  • Austin, TX
  • NPI 1831297365
  NPD (past)
• Eduardo Elizondo, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Austin, TX
  • NPI 1295783728
  NPD (past)
• David K Harris, M.D.

  • Spinal Cord Injury Medicine Physician
  • Austin, TX
  • NPI 1710935093
  NPD (past)

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1245439819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27165",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787552165",
            "telephone_number": "512-358-0500",
            "fax_number": "512-358-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7756 NORTHCROSS DR",
            "address_2": "SUITE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571735",
            "telephone_number": "512-358-0500",
            "fax_number": "512-358-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS & SPINE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "WASSERBURGER",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-358-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "H2890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4295756",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1033217450",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E98496",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80W550",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa M Spong, P.T.
• Carly Grace Sponseller, RBT
• Jennifer Sponsler, PTA
• Scott D. Spoor, M.D.
• Paul Thomas Spore
• Sports and Wellness Chiropractic Solutions, L.L.C.
• Sports Medicine Acupuncture and Tuina PLLC (Austin Acupuncture and Integrative Medicine)
• Sports Therapy and Advanced Rehabilitation, Inc. (STAR Physical Therapy)
• Margaret Ann Sposato, RN
• Kara Lynn Spoto, PA-C

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Austin, TX
• Providers in Austin, TX by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.