Spine & Sport Physical Therapist Care LLC
NPI 1487374930ActiveOrganization· Physical Therapist· Muscle Shoals, AL
Physical Therapist in Muscle Shoals, Alabama, registered in NPPES in September 2022. The authorized official on file is John Waggoner, DPT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1487374930 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 2, 2022 |
| Last updated in NPPES | Dec 31, 2023 |
| Certified by provider | Dec 31, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 (AL) |
|---|
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