Organization Active NPI

Centre Spine Sports and Therapies

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • State College, PA
National Provider Identifier
1336053289
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
CENTRE SPINE SPORTS AND THERAPIES
Practice address
611 University Dr Ste 210
State College, PA 16801-6552
Phone
(814) 699-2879
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Dr. Gregory George Billy, MD
Title
Owner
Phone
(814) 699-2879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU Primary

Addresses

Primary practice location

611 University Dr Ste 210
State College, PA 16801-6552

Mailing address

1220 Russell Rd
Boalsburg, PA 16827-1723

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1336053289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 RUSSELL RD",
            "city": "BOALSBURG",
            "state": "PA",
            "postal_code": "168271723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 UNIVERSITY DR STE 210",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016552",
            "telephone_number": "814-699-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE SPINE SPORTS AND THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "BILLY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-699-2879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.