NPIMap

Organization Active NPI

Outpatient Sports and Spine Rehabilitation. LLC

Doing business as The Institute for Sports and Spine Rehabilitation

  • Physical Therapy Clinic/Center
  • Plano, TX
National Provider Identifier
1386642650
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
651830000 Issued in TX
Legal business name
OUTPATIENT SPORTS AND SPINE REHABILITATION. LLC
Doing business as
The Institute for Sports and Spine Rehabilitation
Practice address
1101 Ohio Dr
Suite 110
Plano, TX 75093-5330
Phone
(972) 985-2622
Fax
(972) 985-2630
NPI assigned
Jul 12, 2005
Last updated
Jun 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Authorized official

Name
Mrs. Kristine Domino StevensNPI 1457360125
Title
Facility Director
Phone
(972) 985-2622

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 651830000 TX Primary

Addresses

Primary practice location

1101 Ohio Dr
Suite 110
Plano, TX 75093-5330

Mailing address

1101 Ohio Dr
Suite 110
Plano, TX 75093-5330
Phone (972) 985-2622

Other names 1

  • The Institute for Sports and Spine Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

1101 Ohio Dr
Ste 110
Plano, TX 75093
Phone (972) 387-0552

Practitioners & affiliated clinicians

Practitioners 11

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": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1386642650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 OHIO DR",
            "address_2": "SUITE 110",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935330",
            "telephone_number": "972-985-2622",
            "fax_number": "972-985-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 OHIO DR",
            "address_2": "SUITE 110",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935330",
            "telephone_number": "972-985-2622",
            "fax_number": "972-985-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT SPORTS AND SPINE REHABILITATION. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "DOMINO",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "972-985-2622",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "651830000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Institute for Sports and Spine Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.