Spine & Sport Physical Therapy Services Inc.
NPI 1053324749ActiveOrganization· Physical Therapist· Grand Rapids, MI
Physical Therapist in Grand Rapids, Michigan, registered in NPPES in August 2006. The authorized official on file is Shirley A. Kleiman, PT DPT OCS CERT MDT, Owner Physical Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053324749 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 14, 2006 |
| Last updated in NPPES | Dec 13, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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