SPECTRUM ORTHOPEDIC SPORT THERAPY
NPI 1417137530
Physical Therapist in San Carlos, CA
About Spectrum Orthopedic Sport Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPECTRUM ORTHOPEDIC SPORT THERAPY (NPI 1417137530) is a healthcare organization registered as a physical therapist in San Carlos, California and active in the NPI registry since November 2007. The organization lists Kenneth William Burns, Physical Therapist Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Spectrum Orthopedic Sport Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Spectrum Orthopedic Sport Therapy, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Spectrum Orthopedic Sport Therapy's NPI number?
The NPI number for Spectrum Orthopedic Sport Therapy is 1417137530. It was assigned to this organization in the NPPES registry on November 6, 2007.
Where is Spectrum Orthopedic Sport Therapy located?
Spectrum Orthopedic Sport Therapy is located at 1140 Laurel St Ste D, San Carlos, CA 94070. The listed phone number is (650) 654-1223.
What is Spectrum Orthopedic Sport Therapy's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Spectrum Orthopedic Sport Therapy enrolled in Medicare?
Yes. Spectrum Orthopedic Sport Therapy is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Spectrum Orthopedic Sport Therapy?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Spectrum Orthopedic Sport Therapy. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Spectrum Orthopedic Sport Therapy was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.