Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southlake Sports & Spine Rehab PLLC

Organization Physical Therapist · NPI 1497048730

Southlake Sports & Spine Rehab PLLC is a Physical Therapist in Southlake, Texas. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1050 E Highway 114 Ste 110
Southlake, TX 76092-5253
Phone: (817) 491-4775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1497048730
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joel Judd — Owner · (817) 498-3919
NPI enumeratedMay 19, 2011
Last updated in NPPESMay 19, 2011
Mailing address1109 Church St, Colleyville, TX 76034-5849

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