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

Sidney Braddock, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1144836891

Sidney Braddock, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in Odessa, Texas. Qualified in 1996, 30 years ago. Practices with Optimus Physical Therapy and Orthosport Specialists PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
30
Licensed in
TX
In the registry since
2020
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Practice location Address checks out

2760 N Grandview Ave Ste A
Odessa, TX 79762-6953
Phone: (432) 552-7034
Fax: (432) 552-7165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1105591 (TX)

Record details

NPI number1144836891
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorYes
NPI enumeratedSeptember 18, 2020
Last updated in NPPESSeptember 21, 2020
Certification dateSeptember 21, 2020
Mailing address2760 N Grandview Ave Ste A, Odessa, TX 79762-6953

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Optimus Physical Therapy And Orthosport Specialists Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Odessa