Sport & Spine Physical Therapy Inc
NPI 1164595609ActiveOrganization· Physical Therapist· West Warwick, RI
Physical Therapist in West Warwick, Rhode Island, registered in NPPES in November 2006. The authorized official on file is Colleen S. McGloin, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164595609 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 15, 2006 |
| Last updated in NPPES | Oct 24, 2011 |
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 (RI) |
|---|
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