MEDICARE: STEP UP SPORTS MEDICINE PLLC

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	207QS0010X	Sports Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1891475026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEP UP SPORTS MEDICINE PLLC

Provider Business Mailing Address
First Line	:	3020 CORPORATE CT STE 400
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-5617
Country	:	US
Telephone Number	:	817-668-3222
Fax Number	:

Provider Business Practice Location Address
First Line	:	3020 CORPORATE CT STE 400
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-5617
Country	:	US
Telephone Number	:	817-668-3222
Fax Number	:	817-668-3200

Authorized Official
Title or Position	:	OWNER
Name	:	NAGA SAI VENKATA H MADHAVAPEDDI
Credential	:	MD
Telephone Number	:	817-668-3222

Provider Enumeration Date	:	07/21/2023
Last Update Date	:	07/24/2023

Similar Medicare Providers

1467815043 — DR. NAGA SAI VENKATA HANUMANTHA RAO MADHAVAPEDDI M.D
Practice Location Address:

3020 CORPORATE CT STE 400
FLOWER MOUND, TX
75028-5617

Practice Phone: 817-668-3222
Practice Fax: 817-668-3200

1912719709 — BACK2LIFE PHYSICAL THERAPY AND WELLNESS
Practice Location Address:

3020 CORPORATE CT STE 400
FLOWER MOUND, TX
75028-5617

Practice Phone: 847-809-8183
Practice Fax:

1437897121 — KYRA ROCHELLE KIRK
Practice Location Address:

5617 MORNING FLOWER DR
BARTLETT, TN
38135-0276

Practice Phone: 901-674-6637
Practice Fax:

1568926335 — THEA STIDHAM FNP
Practice Location Address:

4630 LONG PRAIRIE RD STE 210
FLOWER MOUND, TX
75028-1964

Practice Phone: 469-495-9112
Practice Fax:

1649159393 — UZOAMAKA SUSSAN OBIEKWE NP
Practice Location Address:

1908 ARROW WOOD DR
FLOWER MOUND, TX
75028-8323

Practice Phone: 903-744-9302
Practice Fax:

1508707357 — SAMANTHA HANKING
Practice Location Address:

2908 BLUE SAGE CT
FLOWER MOUND, TX
75028-7611

Practice Phone: 972-345-0848
Practice Fax:

Directions to “STEP UP SPORTS MEDICINE PLLC ” 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.