NPIMap

Organization Active NPI

Spot Rehabilitation Inc.

  • Physical Therapist
  • Saint Cloud, MN
National Provider Identifier
1013919448
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Authorized official

Name
Mrs. Elizabeth Steinessen, OTR/L
Title
Ceo
Phone
(320) 259-4151

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

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

Mailing address

2835 W Saint Germain St
Suite 300
Saint Cloud, MN 56301-4743
Phone (320) 259-4151

Other identifiers 1

IdentifierTypeStateIssuer
946555300MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050620001100 MN Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 4587576558 Practice locations: Saint Cloud, MN; Waite Park, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013919448. Details of each certification follow.

  • CCN 246550 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 246550

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SPOT REHABILITATION INC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Aug 15, 1992
Last certification
Aug 8, 2018
Ownership / control type
Proprietary
Facility address
2835 West Saint Germain St, Suite 300
Saint Cloud, MN 56301

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1013919448",
    "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": "2005-08-15",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "STEINESSEN",
        "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": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "946555300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.