Specialized Spine Care, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPECIALIZED SPINE CARE, INC.

Practice address

3333 W Division St Ste 115
Saint Cloud, MN 56301-4548

Phone

(320) 253-5385

Fax

(320) 253-5396

NPI assigned

Feb 14, 2021

Organization subpart

No

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

Authorized official

Name

Jennifer Christine Halloran, PTNPI 1437537503

Title

Owner, Cfo

Phone

(320) 253-5385

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

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

• Jennifer Halloran, P.T.

  • Physical Therapist
  • Saint Cloud, MN
  • NPI 1437537503
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1613260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613260800000",
    "number": "1740873405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 W DIVISION ST STE 115",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014548",
            "telephone_number": "320-253-5385",
            "fax_number": "320-253-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W DIVISION ST STE 115",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014548",
            "telephone_number": "320-253-5385",
            "fax_number": "320-253-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED SPINE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-14",
        "last_updated": "2021-02-14",
        "certification_date": "2021-02-14",
        "status": "A",
        "authorized_official_last_name": "HALLORAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER, CFO",
        "authorized_official_telephone_number": "320-253-5385",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Specializedspinecare.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "3333 W Division St Ste 115",
            "city": "Saint Cloud",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563014548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diane R Spaniol, CNS APRN BC
• Julie Claire Spare, MS
• Kelly Spartz, RN
• Kimberly Spaulding, M.D.
• Speakwise Solutions LLC
• Spectrum Home Health Care LLC
• Amanda Sperl, DDS
• Steven Joel Sperl, PT
• Sheralyn Sperling
• Gina Marie Spicer

• Physical Therapist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.