dba North Texas Sports Medicine – Physical Therapist, NPI 1548355183

dba North Texas Sports Medicine is a healthcare provider. based in Decatur, Texas. specializing in Physical Therapist. The organization holds a License No. 615540000 (TX). The NPI Number for dba North Texas Sports Medicine is 1548355183

Main info

Organization
Name
dba North Texas Sports Medicine
NPI
1548355183
Phone
(940) 627-7532
Address
PO BOX 1267
Authorized Official
DALE ROTH RODGERS PRESIDENT
Enumeration Date
3 October 2006
Last Update Date
6 July 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for dba North Texas Sports Medicine

  • Decatur Post Office, 214, South Franklin Street, Central Business District, Decatur, Macon County, Illinois, 62523, United States

    DECATUR, TX 762344002

    Phone: (940) 627-7532

    Fax: (940) 627-7547

    Type: Mailing

  • 2800, South FM 51, Decatur, Wise County, Texas, 76234, United States

    STE B

    DECATUR, TX 762344002

    Phone: (940) 627-7532

    Fax: (940) 627-7547

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-02-29 (831 days ago).

Enrollment records

2

Earliest due date

2024-02-29

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20050404000478OOutpatient Physical Therapy/Occupational Therapy/Speech Pathology ServicesTX2024-02-29
O20231006000427OPhysical/Occupational Therapy Group In Private PracticeTXTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76234)

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Reviews

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Frequently asked questions

What number should I use to identify dba North Texas Sports Medicine for billing?
Administrative and clinical systems typically use NPI 1548355183 for dba North Texas Sports Medicine.
Does the public listing show dba North Texas Sports Medicine as active?
dba North Texas Sports Medicine's NPI record reflects an active status in NPPES.
What services align with dba North Texas Sports Medicine's listing?
dba North Texas Sports Medicine's public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to dba North Texas Sports Medicine?
dba North Texas Sports Medicine is associated with Decatur, Texas in the same public data insurers reference.
Who maintains dba North Texas Sports Medicine's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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