Spot Rehabilitation Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SPOT REHABILITATION INC.

Practice address

2835 W Saint Germain St
Suite 300
Saint Cloud, MN 56301-4743

Phone

(320) 259-4151

Fax

(320) 259-5707

NPI assigned

Aug 16, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Elizabeth Stienessen, OTR/L

Title

Ceo

Phone

(320) 259-4151

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Home health agency certification: CCN 248082

Legal name

SPOT REHABILITATION, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 9, 2004

Last certification

Jan 15, 2020

Ownership / control type

Non-Profit

Organization structure

CorporationProprietary

Incorporated

Oct 31, 1989 in MN

Enrollment address

2835 W Saint Germain St
Ste 300
Saint Cloud, MN 56301-6281

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Spot Rehabilitation Inc.

  • Physical Therapist
  • Saint Cloud, MN
  • NPI 1013919448

  4587576558

  Same PAC ID

Listed as

Spot Rehabilitation IncCCN 248082

Overall star rating

3 of 5

Ownership

Non-Profit

Certified

Jul 9, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Kirsten Becker, PT

  • Physical Therapist
  • Saint Cloud, MN
  • NPI 1639152135

  5% Or Greater Direct Ownership Interest, Corporate Officer

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robbie Holen, OTR/L

  • Occupational Therapist
  • Saint Cloud, MN
  • NPI 1639152127
  NPD

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Nathan R Brever, MD

  • Family Medicine Physician
  • Albany, MN
  • NPI 1346416880

  Home health agency

  Care Compare affiliation
• Gati Niranjan Dhroove, MBBS

  • Internal Medicine Physician
  • St Cloud, MN
  • NPI 1982915492

  Home health agency

  Care Compare affiliation
• Steven Dilts, APRN, FNP-C

  • Family Nurse Practitioner
  • Stillwater, MN
  • NPI 1225405087

  Home health agency

  Care Compare affiliation
• Amy L Kramer, CNP

  • Critical Care Medicine Nurse Practitioner
  • Saint Cloud, MN
  • NPI 1609866201

  Home health agency

  Care Compare affiliation
• Thomas Walter, MD

  • Internal Medicine Physician
  • Saint Cloud, MN
  • NPI 1225665904

  Home health agency

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1013909100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 W SAINT GERMAIN ST",
            "address_2": "SUITE 300",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014743",
            "telephone_number": "320-259-4151",
            "fax_number": "320-259-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 W SAINT GERMAIN ST",
            "address_2": "SUITE 300",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014743",
            "telephone_number": "320-259-4151",
            "fax_number": "320-259-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOT REHABILITATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "STIENESSEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-259-4151",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "298695700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Marie Spicer
• Sandra L Spiczka, MS, CRC
• Emily Katherine Spier, DC
• Ashley Marie Spinler, LMFT
• Nancy Kaye Spitzack, PSY.D.
• Spot Rehabilitation Inc.
• Skyla Rose Sprague
• Jennifer Sprengeler, NURSE PRACTITIONER
• Kylee I. Sprifke
• Mersadies St Andrew

• All providers in Saint Cloud, MN
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.