Sportsortho Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SPORTSORTHO SURGERY CENTER LLC

Practice address

610 Kaimali Dr
Harlingen, TX 78550-0233

Phone

(956) 232-3088

Fax

(855) 594-8131

NPI assigned

May 10, 2016

Last updated

Jun 12, 2025By 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

Kimberly A Lidbom Oxford

Title

Billing Manager

Phone

(956) 465-1091

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Sportsortho Surgery Center LLCCCN 45C0001659

Medicare certification status

ActiveFrom the Provider of Services file

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1407202484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531060",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785531060",
            "telephone_number": "956-232-3088",
            "fax_number": "855-594-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 KAIMALI DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785500233",
            "telephone_number": "956-232-3088",
            "fax_number": "855-594-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTSORTHO SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "LIDBOM OXFORD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "956-465-1091"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "130384",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "391353501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER",
            "identifier": "45D2145076",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marianne Sparrow, LPC
• Specialty Pain Physicians of Texas PLLC
• Lena T. Speck Hopkins, M.D.
• Speech Solutions Therapy Services LLC
• Sportsortho Anesthesia
• Princy Sreeny
• Sridhar Balaji Srinivasan, MD
• Christina Standridge
• Starkidz Therapy Services, LLC
• Starr County Hospital District (Windsor Nursing and Rehabilitation Center of Harlingen)

• Ambulatory Surgical Clinic/Center in Harlingen, TX
• Providers in Harlingen, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.