Sports, Back & Pain Mangement Clinic
NPI 1275786469 · Orthopedic Physical Therapist · Bryan, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sports, Back & Pain Mangement Clinic is a Orthopedic Physical Therapist organization in Bryan, TX (NPI 1275786469).
Provider details
- NPI number
- 1275786469
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Leon Bradway, Physical Therapist(979) 776-2225
- License
- 1055085 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-10-31
- Last updated
- 2008-10-31
Frequently asked questions
- What is Sports, Back & Pain Mangement Clinic's NPI number?
- Sports, Back & Pain Mangement Clinic's National Provider Identifier (NPI) is 1275786469, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sports, Back & Pain Mangement Clinic?
- Sports, Back & Pain Mangement Clinic is classified in the NPPES registry as Orthopedic Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Sports, Back & Pain Mangement Clinic located?
- Sports, Back & Pain Mangement Clinic's practice location on file with NPPES is 2011 #a Villa Maria Rd, Bryan, TX 77802-2541.
- What is Sports, Back & Pain Mangement Clinic's phone number?
- The practice phone number listed in the NPPES registry for Sports, Back & Pain Mangement Clinic is (979) 776-2225.
- Does Sports, Back & Pain Mangement Clinic accept Medicare?
- Sports, Back & Pain Mangement Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sports, Back & Pain Mangement Clinic?
- The authorized official listed on Sports, Back & Pain Mangement Clinic's NPPES record is Leon Bradway, Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sports, Back & Pain Mangement Clinic's NPI active?
- Yes — Sports, Back & Pain Mangement Clinic's NPI (1275786469) is active in the NPPES registry as of the last update on 2008-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.