OrganizationActive
Southlake Sports & Spine Rehab PLLC
NPI 1497048730 · Physical Therapist · Southlake, TX
Provider details
- NPI number
- 1497048730
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Joel Judd, Owner(817) 498-3919
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1050 E Highway 114
Suite 110
Southlake, TX 76092-5253
Phone: (817) 491-4775
Approximate (ZIP-level) locationGet directions
Mailing address
1109 Church St
Colleyville, TX 76034-5849
Registry dates
- Enumerated
- 2011-05-19
- Last updated
- 2011-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.