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NPI 1386642650
● Active Type 2 · Organization
Outpatient Sports And Spine Rehabilitation. Llc
Clinic/Center · Plano, TX · NPI 1386642650
·
Enumerated 2005 · 20 years on NPI
Outpatient Sports And Spine Rehabilitation. Llc is 1 of 1225 clinic/center organizations in Texas.
NPI age
20 years
Enumerated 2005-07-12
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stevens
Facility Director
Last NPPES update
2010-06-08
Source: monthly bulk 2026-05
How this organization compares
Across 1225 active clinic/center providers in Texas.
NPI age
20 years
↑ 12 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2005 → 2026
2005-07 Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
1101 Ohio Dr, Suite 110
Plano, TX 750935330
📞 9729852622 fax 9729852630
Mailing address
1101 Ohio Dr, Suite 110
Plano, TX 750935330
📞 9729852622 fax 9729852630
Authorized official
Kristine Domino Stevens
Facility Director
📞 9729852622
Individual providers at this organization
10 individual providers on file at this primary practice address.
Gail Blom , MA OTR CHT
Occupational Therapist
NPI 1023074036
Matthew Dunn , PT
Physical Therapist
NPI 1447697883
Rachel Jillson , PT
Physical Therapist
NPI 1306937073
Robert Luedtke , ATC,LAT
Specialist/Technologist
NPI 1922010412
Kendra Pike , MPT, CSCS
Physical Therapist
NPI 1013020858
Corey Smith , ATC, L
Specialist/Technologist
NPI 1245344522
Kristine Stevens , A.T.C., L.A.T.
Specialist/Technologist
NPI 1457360125
Sarah Stillings , PT CHT
Physical Therapist
NPI 1114983129
Elizabeth Zeigler , PT
Physical Therapist
NPI 1942211768
Darya Zhelezkov , DPT
Physical Therapist
NPI 1639526528
Specialties
Clinic/Center
Primary
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and...
TX license #651830000 taxonomy 261QP2000X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
10 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.