1P410 SPORTS PERFORMANCE NPI 1588070528

NPI Information

  • NPI: 1588070528
  • Provider Name: 1P410 SPORTS PERFORMANCE
  • Classification: Chiropractor - 111NS0005X
  • Specialization: Sports Physician
  • Entity Type: Organization
  • Doing Business As: ATHLETIC REPUBLIC-THE WOODLANDS
  • Address: 7 PLAYER GROVE CT
    THE WOODLANDS, TX
    ZIP 77382
  • Phone: (832) 791-5954

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NPI Details

1P410 SPORTS PERFORMANCE is a sports physician chiropractor in The Woodlands, TX. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. 1P410 SPORTS PERFORMANCE NPI is 1588070528. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Athletic Republic-the Woodlands.

The provider's business location address is:

7 PLAYER GROVE CT
THE WOODLANDS, TX
ZIP 77382-124
Phone: (832) 791-5954

The provider's authorized official is Derrick Raymer .
The authorized official title is Director Of Sports Performance and has the following contact phone number (832) 791-5954.

The enumeration date for this NPI number is 7/10/2014 and was last updated on 7/10/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111NS0005XChiropractorSports Physician12247TEXASYes

What is NPI?

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This page was last updated on: 11/21/2025

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