NPIMap

Organization Active NPI

Performance Pain and Sports Medicine, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1710475801
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PERFORMANCE PAIN AND SPORTS MEDICINE, PLLC
Practice address
4126 Southwest Fwy Ste 1700
Houston, TX 77027-7317
Phone
(346) 217-1111
Fax
(346) 571-2189
NPI assigned
Apr 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Suzanne Manzi, MDNPI 1003051731
Title
Owner
Phone
(346) 217-1111

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4126 Southwest Fwy Ste 1700
Houston, TX 77027-7317

Mailing address

PO Box 649834
Dallas, TX 75264-9834
Phone (346) 308-6741

Other practice location 1

1650 W Baker Rd Ste A
Baytown, TX 77521-2284
Phone (346) 308-6741

Other practice location 2

1216 E Main St Ste A
League City, TX 77573-7463
Phone (346) 308-6741

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181215000023 TX DME Supplier - Physician - General Practice 2163714551 Practice locations: Houston, TX

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Performance Pain and Sports3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4126 Southwest Fwy
Ste 1300
Houston, TX 77027
Phone (609) 817-0052

4126 Southwest Fwy
Ste 1700
Houston, TX 77027
Phone (346) 217-1111

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1710475801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649834",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752649834",
            "telephone_number": "346-308-6741",
            "fax_number": "346-571-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 SOUTHWEST FWY STE 1700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277317",
            "telephone_number": "346-217-1111",
            "fax_number": "346-571-2189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 W Baker Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775212284",
            "country_code": "US",
            "telephone_number": "346-308-6741",
            "fax_number": "346-571-2189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1216 E Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "775737463",
            "country_code": "US",
            "telephone_number": "346-308-6741",
            "fax_number": "346-571-2189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERFORMANCE PAIN AND SPORTS MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "MANZI",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-217-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.