MEDICARE: SAGINAW VALLEY SPORT & SPINE LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist
2	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1396820346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAGINAW VALLEY SPORT & SPINE LP

Provider Business Mailing Address
First Line	:	1300 W SAM HOUSTON PKWY S
Second Line	:	SUITE 300
City	:	HOUSTON
State	:	TX
Zip	:	77042-2447
Country	:	US
Telephone Number	:	713-297-7000
Fax Number	:	713-297-7090

Provider Business Practice Location Address
First Line	:	6942 DIXIE HWY
Second Line	:
City	:	BRIDGEPORT
State	:	MI
Zip	:	48722-9760
Country	:	US
Telephone Number	:	989-777-8520
Fax Number	:	989-777-8532

Authorized Official
Title or Position	:	VP/AUTHORIZED OFFICIAL
Name	:	JANNA P. KING
Credential	:	JD
Telephone Number	:	713-297-7000

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1467448134 — LUBNA AHSAN MD
Practice Location Address:

6940 DIXIE HWY
BRIDGEPORT, MI
48722-9760

Practice Phone: 989-746-0933
Practice Fax: 989-746-5070

1063445104 — DR. HENRYK CZESLAW PIETRUS M.D.
Practice Location Address:

6940 DIXIE HWY
BRIDGEPORT, MI
48722-9760

Practice Phone: 989-746-0933
Practice Fax: 989-746-5070

1619182094 — SAGINAW VALLEY SPORT AND SPINE LIMITED PARTNERSHIP
Practice Location Address:

6942 DIXIE HWY
BRIDGEPORT, MI
48722-9760

Practice Phone: 989-777-8520
Practice Fax: 989-777-8532

1356600431 — CASS RIVER HEALTH PLAZA PLLC
Practice Location Address:

6940 DIXIE HWY
BRIDGEPORT, MI
48722-9760

Practice Phone: 989-746-0933
Practice Fax: 989-746-5070

1679973408 — GREAT LAKES MEDICAL EQUIPMENT GROUP
Practice Location Address:

6940 DIXIE HWY
BRIDGEPORT, MI
48722-9760

Practice Phone: 989-892-7722
Practice Fax:

1417323098 — SERENITY HOSPICE OF MICHIGAN
Practice Location Address:

6942 DIXIE HWY
BRIDGEPORT, MI
48722-9760

Practice Phone: 734-644-0303
Practice Fax:

Directions to “SAGINAW VALLEY SPORT & SPINE LP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.