Shoreline Sport & Spine PLLC

A Medicare group practice based in Muskegon, MI: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4284673575), with 45 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4284673575The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Also listed as
Shoreline Sport and Spine PLLCName in Care Compare
Provider type
DME Supplier - Independently-Practicing Occupational Therapist, Part B Supplier - Physical/Occupational Therapy Group in Private Practice
Enrolled in
MI
Enrollments
3
Group size
44 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
14In 7 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20050426001319 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1225040694
O20260324002414 MI DME Supplier - Independently-Practicing Occupational Therapist 1164232419
O20260318003213 MI DME Supplier - Independently-Practicing Occupational Therapist 1619787959

NPIs in this group 3

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 45

Clinicians who reassign their Medicare benefits to this group (45) or whom Care Compare lists as members (44).

Sources for this page