Axis Brain and Back Institute PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

P9148 Issued in TX

Legal business name

AXIS BRAIN AND BACK INSTITUTE PLLC

Practice address

1110 E State Highway 114 Ste 100
Southlake, TX 76092-5251

Phone

(817) 502-7411

Fax

(817) 502-7412

NPI assigned

May 19, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Saeid Esmaeily Aryan, DONPI 1144487174

Title

Owner/President

Phone

(817) 502-7411

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Axis Brain and Back Institute PLLC

  • Durable Medical Equipment & Medical Supplies
  • Southlake, TX
  • NPI 1295641736
  NPPES parent name

Practitioners 10

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

• Saeid Esmaeily Aryan, D.O

  • Neurological Surgery Physician
  • Fort Worth, TX
  • NPI 1144487174
  Medicare reassignment Care Compare group NPD Authorized official
• Jared Lee Anderson, APRN, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1992321251
  Medicare reassignment Care Compare group NPD
• Jason Brewton, PT

  • Physical Therapist
  • Trophy Club, TX
  • NPI 1982757860
  Medicare reassignment Care Compare group NPD
• Tanya S Dixon, DO

  • Neurological Surgery Physician
  • Fort Worth, TX
  • NPI 1356549869
  Medicare reassignment Care Compare group NPD
• Miriah C Hadley, DPT

  • Physical Therapist
  • Grand Prairie, TX
  • NPI 1255929212
  Medicare reassignment Care Compare group NPD
• Karthik Sabapathy, D.O.

  • Pain Medicine Physician
  • Southlake, TX
  • NPI 1124482740
  Medicare reassignment Care Compare group NPD
• Gregory Paul Johnson, PT, DPT

  • Physical Therapist
  • Keller, TX
  • NPI 1093080228
  Medicare reassignment NPD
• Malik Minter, PT, DPT

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1699533273
  Medicare reassignment NPD
• Steven Robert Souders, PA-C

  • Physician Assistant
  • Colleyville, TX
  • NPI 1871979674
  Medicare reassignment
• Velma Elaine Thomas-Aguilar, P.A.

  • Medical Physician Assistant
  • Highland Village, TX
  • NPI 1801043245
  Medicare reassignment

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1689085193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E STATE HIGHWAY 114 STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925251",
            "telephone_number": "817-502-7411",
            "fax_number": "817-502-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E STATE HIGHWAY 114 STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925251",
            "telephone_number": "817-502-7411",
            "fax_number": "817-502-7412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9525 N Beach St Ste 405",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762446438",
            "country_code": "US",
            "telephone_number": "817-502-7411",
            "fax_number": "817-502-7412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2617 Scripture St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762012398",
            "country_code": "US",
            "telephone_number": "817-502-7411",
            "fax_number": "817-502-7412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 W Eagle Dr",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "TX",
            "postal_code": "762343745",
            "country_code": "US",
            "telephone_number": "817-502-7411",
            "fax_number": "817-502-7412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AXIS BRAIN AND BACK INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "ARYAN",
        "authorized_official_first_name": "SAEID",
        "authorized_official_middle_name": "ESMAEILY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "817-502-7411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "P9148",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00E4E2",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "7273750001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Axent Diagnostics LLC
• Axent Diagnostics LLC
• Axent Diagnostics LLC
• Axent Diagnostics LLC
• Axis Brain and Back Institute PLLC
• Axis Pain Institute of North America
• Axis Surgery Center, LLC
• Priscilla S Baber, MSN, APRN, FNP-C
• Melissa Bachman, PHYSICIAN ASSISTANT
• Amy Christine Badstubner, AU.D.

• Neurological Surgery Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Neurological Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.