NPIMap

Organization Active NPI

CSK Medical Partners

Doing business as Lubbock Sports Rehab

  • Physical Therapy Clinic/Center
  • Lubbock, TX
National Provider Identifier
1467576793
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CSK MEDICAL PARTNERS
Doing business as
Lubbock Sports Rehab
Practice address
6206 Norwich Ave
Lubbock, TX 79424-1288
Phone
(806) 792-7200
Fax
(806) 792-7225
NPI assigned
Mar 19, 2007
Last updated
Jun 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Authorized official

Name
Mr. Mark O'Keefe, PT
Title
Physical Therapist
Phone
(806) 792-7200

Specialties & licenses 1

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

Addresses

Primary practice location

6206 Norwich Ave
Lubbock, TX 79424-1288

Mailing address

6206 Norwich Ave
Lubbock, TX 79424-1288
Phone (806) 792-7200

Other names 1

  • Lubbock Sports Rehab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050413000186 TX Part B Supplier - Clinic/Group Practice 2466404447 Receives reassigned benefits from 28 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lubbock, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

4110 22nd Pl
Lubbock, TX 79410
Phone (806) 792-4329

5044 Frankford Ave
Ste 100
Lubbock, TX 79424
Phone (806) 792-7200

6206 Norwich Ave
Lubbock, TX 79424
Phone (806) 792-7200

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1467576793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6206 NORWICH AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241288",
            "telephone_number": "806-792-7200",
            "fax_number": "806-792-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6206 NORWICH AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241288",
            "telephone_number": "806-792-7200",
            "fax_number": "806-792-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSK MEDICAL PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "O'KEEFE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "806-792-7200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lubbock Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lubbock Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.