NPIMap

Sport & Spine Clinic LP

A Medicare group practice based in Greenwood, WI: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 9830008846), with 28 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9830008846The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Also listed as
Sport and Spine Clinic LPName in Care Compare
Provider type
Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services, Part B Supplier - Physical/Occupational Therapy Group in Private Practice
Enrolled in
WI
Enrollments
3
Group size
26 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20050817000587 WI Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1497833966
O20260512000530 WI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1497833966
O20140423000103 WI Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1043252695

NPIs in this group 4

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 28

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (26).

Sources for this page