PERFORMANCE PAIN AND SPORTS MEDICINE, PLLC (NPI# 1316307275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316307275 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE PAIN AND SPORTS MEDICINE, PLLC |
| Practice Address |
4126 Southwest Fwy Suite 1300 Houston TX 77027-7310 |
| Practice Telephone | 6098170052 |
| Practice Fax Number | 6098170051 |
| Mailing Telephone | 6098170052 |
| Mailing Fax Number | 6098170051 |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-06-09 |
| Authorized Official Name | STACY SALERA (FINANCE REPRESENTATIVE) |
| Authorized Official Telephone | 6098170052 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 302F00000X | Exclusive Provider Organization | N7457 | TX | Managed Care Organizations |
| Y | 305S00000X | Point of Service | N7457 | TX | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MULTI-SPECIATLY | 0000000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710475801 | Performance Pain and Sports Medicine, Pllc | Physical Medicine & Rehabilitation | 4126 Southwest Fwy Ste 1300, Houston, TX 77027-7310 | 2018-04-25 |
| 1770034209 | Performance Pain and Sports Medicine, Pllc | Durable Medical Equipment & Medical Supplies | 4126 Southwest Fwy, Suite 1300, Houston, TX 77027-7310 | 2016-10-19 |
| Street Address |
4126 SOUTHWEST FWY SUITE 1300 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77027-7310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913177 | Kristi J Posey | Psychiatry & Neurology | 4126 Southwest Fwy, Suite 800, Houston, TX 77027-7310 | 2005-06-23 |
| 1427583905 | Midtown Lab, LLC | Clinical Medical Laboratory | 4126 Southwest Fwy, Suite 100, Houston, TX 77027-7310 | 2017-04-21 |
| 1285176875 | Highland Surgical Center | Clinic/Center | 4126 Southwest Fwy, Suite 225, Houston, TX 77027-7310 | 2016-11-14 |
| 1770034209 | Performance Pain and Sports Medicine, Pllc | Durable Medical Equipment & Medical Supplies | 4126 Southwest Fwy, Suite 1300, Houston, TX 77027-7310 | 2016-10-19 |
| 1265983035 | Caleb Richard Ashmore | Physical Therapist | 4126 Southwest Fwy, Suite 1700, Houston, TX 77027-7310 | 2016-10-17 |
| 1164893459 | Henrietta Udunenwu | Nurse Practitioner | 4126 Southwest Fwy, Houston, TX 77027 | 2015-10-12 |
| 1922477041 | Crosspoint Surgical Center LLC | Clinic/Center | 4126 Southwest Fwy, Suite 250, Houston, TX 77027-7310 | 2015-09-18 |
| 1588056170 | Pelvikly Speaking | Urology | 4126 Southwest Fwy, Ste1210, Houston, TX 77027-7310 | 2015-02-19 |
| 1033513478 | Plastic Surgery & Ent | Otolaryngology | 4126 Southwest Fwy, Suite 1210, Houston, TX 77027-7310 | 2014-10-14 |
| 1992118525 | Central Houston Surgical Center, LLC | Clinic/Center | 4126 Southwest Fwy, Suite 300, Houston, TX 77027-7310 | 2014-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104456185 | River Oaks Senior Living LLC | Assisted Living Facility | 4 Briar Dale Ct, Houston, TX 77027 | 2020-01-18 |
| 1477191757 | Holistic Innovative Interventional Pain Associates Pllc | General Practice | 4615 Southwest Freeway #850, Houston, TX 77027 | 2019-12-17 |
| 1841837986 | Veronica Welch | Social Worker | 464 Wild Indigo, Suite 150, Houston, TX 77027 | 2019-12-09 |
| 1184288805 | Gabriella Postalian-rizzo | Dentist | 4126 Southwest Freeway, Suite 1040, Houston, TX 77027 | 2019-04-29 |
| 1659856680 | Rachel Menges | Nurse Practitioner | 4200 Twelve Oaks Place, Houston, TX 77027 | 2018-09-25 |
| 1295217503 | New Way Psychological Services, Pllc | Psychologist | 2100 West Loop South Suite 800, Houston, TX 77027 | 2018-09-04 |
| 1760960892 | Emily Moore Netherton | Social Worker | 4646 Wild Indigo, Suite 150, Houston, TX 77027 | 2018-07-31 |
| 1548757826 | Foundations Pediatric Therapy of Houston | Occupational Therapist | 3312 Marquart Street, Houston, TX 77027 | 2018-04-22 |
| 1962905091 | Christina Raeann Gkinos | Licensed Practical Nurse | 3315 Marquart Street, 209, Houston, TX 77027 | 2018-03-15 |
| 1508366337 | Florence Okotie | Registered Nurse | 3315 Marquette St, Houston, TX 77027 | 2018-02-19 |
| Find all providers in zip 77027 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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|---|---|---|---|---|
| 1639634512 | Agape Love International Foundation | Point of Service | 11614 Welshpool Glen Dr, Houston, TX 77066-4621 | 2019-02-05 |
| 1871077446 | Novacure Group, LLC | Point of Service | 5161 San Felipe St Ste 320-18, Houston, TX 77056-3633 | 2018-09-19 |
| 1790220481 | Premier Diagnostic Center | Point of Service | 10311 Homestead Road, Houston, TX 77016 | 2017-01-04 |
| 1134673072 | Peace of Mind Adult Day Care Center | Point of Service | 3355 Fm 1960 Rd W, Houston, TX 77068-3605 | 2016-08-09 |
| 1902257843 | My Focus On Life Inc | Point of Service | 8323 Southwest Fwy Ste 425, Houston, TX 77074-1618 | 2016-06-22 |
| 1740641687 | Dl Medical Billing Professional/ Professionals LLC | Point of Service | 5302 Ingomar Way, Houston, TX 77053-2112 | 2016-03-18 |
| 1730557711 | Destiny Consulting | Point of Service | 15006 Welcome Ln, Houston, TX 77014-1408 | 2015-09-09 |
| 1225405806 | Healing Hands & Health Therapities | Point of Service | 4711 W Alabama St, Apt B, Houston, TX 77027-4731 | 2015-08-30 |
| 1962879528 | Fresh-n-clean | Point of Service | 12219 Ghita Ln, Houston, TX 77044-1580 | 2015-08-29 |
| 1164821369 | Lawil Group Inc | Point of Service | 6862 Crosswell St, Houston, TX 77087-6811 | 2014-08-14 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.