St. Clair Orthopaedics and Sports Medicine PC
NPI 1073385738ActiveOrganization· Physical Therapist· Saint Clair Shores, MI
Physical Therapist in Saint Clair Shores, Michigan, registered in NPPES in October 2023. The authorized official on file is Elaine Russette, Credentialing.
Overview
| NPI | 1073385738 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 26, 2023 |
| Last updated in NPPES | Oct 26, 2023 |
| Certified by provider | Oct 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist, Hand | 225XH1200X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 76 physical therapists in Saint Clair Shores · All physical therapists in Michigan