NPIMap

Physical Therapy Spine & Sports Medicine LLC

A Medicare group practice based in Ballwin, MO: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3173654936), with 127 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3173654936The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Also listed as
Physical Therapy Spine and Sports Medicine LLCName in Care Compare
Provider type
Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services, Part B Supplier - Clinic/Group Practice
Enrolled in
MO
Enrollments
2
Group size
123 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20100623000778 MO Part B Supplier - Clinic/Group Practice 1942524087
O20191209000112 MO Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1942524087

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 127

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (123).

Sources for this page