Spectrum Orthopedic Sport Therapy
NPI 1417137530ActiveOrganization· Physical Therapist· San Carlos, CA
Physical Therapist in San Carlos, California, registered in NPPES in November 2007. The authorized official on file is Kenneth William Burns, PT CSCS, Physical Therapist Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1417137530 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 6, 2007 |
| Last updated in NPPES | Jul 26, 2022 |
| Certified by provider | Jul 26, 2022 |
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 - Physical/Occupational Therapy Group in Private Practice (CA) |
|---|
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