League City Spine and Sports Medicine, PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

LEAGUE CITY SPINE AND SPORTS MEDICINE, PLLC

Practice address

1216 E Main St Ste a
League City, TX 77573-7463

Phone

(281) 332-3428

NPI assigned

Jun 4, 2019

Last updated

Jun 4, 2019By 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. Brian Joseph Sansalone, DCNPI 1609079573

Title

Member

Phone

(281) 332-3428

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 8

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.

• Brian Joseph Sansalone, D.C.

  • Chiropractor
  • League City, TX
  • NPI 1609079573
  Medicare reassignment Care Compare group NPD Authorized official
• Adrianne Beth Campbell, FNP-BC

  • Family Nurse Practitioner
  • League City, TX
  • NPI 1336789965
  Medicare reassignment Care Compare group NPD
• Tiffani Brooke Crochet, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Friendswood, TX
  • NPI 1770298820
  Medicare reassignment Care Compare group NPD
• Elizabeth Ann Doise, D.C.

  • Chiropractor
  • League City, TX
  • NPI 1649167404
  Medicare reassignment Care Compare group NPD
• James L Heintz Jr., DC

  • Chiropractor
  • League City, TX
  • NPI 1053329011
  Medicare reassignment Care Compare group NPD
• Hunter Dean Steele, DC

  • Chiropractor
  • League City, TX
  • NPI 1639815954
  Medicare reassignment Care Compare group NPD
• Suzanne Marie Manzi, M.D., FAAPMR

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
  • NPI 1003051731
  NPD
• Mohammed Mehboob Qureshi, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Ellenwood, GA
  • NPI 1770997942
  NPD (past)

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1366000309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 E MAIN ST STE A",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737463",
            "telephone_number": "281-332-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 E MAIN ST STE A",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737463",
            "telephone_number": "281-332-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAGUE CITY SPINE AND SPORTS MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "SANSALONE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "281-332-3428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• League City Family Clinic, PLLC
• League City Medical Center LLC (First Choice Emergency Room)
• League City Modern Dentistry and Orthodontics, PC (League City Modern Dentistry and Orthodontics)
• League City Pain and Wllness, PLLC
• League City Smiles Dentistry,PC (League City Smiles Dentistry)
• League City Texas State Optical PA
• League Pharmacy LLC
• League Pharmacy LLC
• Mina Leanne Ledoux, MSN, APRN, FNP-C
• Colin Joe Lee, PHARMD

• Physical Medicine & Rehabilitation Physician in League City, TX
• Providers in League City, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.