Specialized Spine Care, Inc.
NPI 1740873405ActiveOrganization· Physical Therapist· Saint Cloud, MN
Physical Therapist in Saint Cloud, Minnesota, registered in NPPES in February 2021. The authorized official on file is Jennifer Christine Halloran, PT, Owner, Cfo. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1740873405 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 14, 2021 |
| Last updated in NPPES | Feb 14, 2021 |
| Certified by provider | Feb 14, 2021 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 (MN) |
|---|
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