Organization Active NPI

The Woodlands Sports Medicine Centre, PA

  • Orthopaedic Surgery Physician
  • The Woodlands, TX
National Provider Identifier
1497759211
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
THE WOODLANDS SPORTS MEDICINE CENTRE, PA
Practice address
1441 Woodstead CT
Ste 300
The Woodlands, TX 77380-1449
Phone
(281) 367-0400
Fax
(281) 367-1201
NPI assigned
Jun 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Jessie M Johnson
Title
Administrator Assistant
Phone
(281) 367-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1441 Woodstead CT
Ste 300
The Woodlands, TX 77380-1449

Mailing address

1441 Woodstead CT Ste 300
The Woodlands, TX 77380-1449
Phone (281) 367-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040817000653 TX Part B Supplier - Clinic/Group Practice 9739152828 Receives reassigned benefits from 17 practitioners
Practice locations: The Woodlands, TX; Conroe, TX
O20100930039040 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9739152828 Practice locations: The Woodlands, TX

National Provider Directory

National Provider Directory

Locations

3786 FM 1488 Rd
Ste 300
Conroe, TX 77384
Phone (281) 367-0400

1441 Woodstead Ct
Ste 300
The Woodlands, TX 77380
Phone (281) 367-0400

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1497759211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 WOODSTEAD CT STE 300",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801449",
            "telephone_number": "281-367-0400",
            "fax_number": "281-367-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 WOODSTEAD CT",
            "address_2": "STE 300",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801449",
            "telephone_number": "281-367-0400",
            "fax_number": "281-367-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOODLANDS SPORTS MEDICINE CENTRE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR ASSISTANT",
        "authorized_official_telephone_number": "281-367-0400"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.