SPECTRUM THERAPY, PLLC
NPI 1912861642
Social Worker - Clinical in Evans, CO
About Spectrum Therapy, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPECTRUM THERAPY, PLLC (NPI 1912861642) is a healthcare organization registered as a clinical in Evans, Colorado and active in the NPI registry since December 2025. The organization lists Kellan Stack, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Therapy, Pllc 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 Therapy, PLLC, 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 Therapy, PLLC's NPI number?
The NPI number for Spectrum Therapy, PLLC is 1912861642. It was assigned to this organization in the NPPES registry on December 16, 2025.
Where is Spectrum Therapy, PLLC located?
Spectrum Therapy, PLLC is located at 2441 Shooting Star Way, Evans, CO 80620. The listed phone number is (970) 236-1798.
What is Spectrum Therapy, PLLC's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Spectrum Therapy, PLLC enrolled in Medicare?
Yes. Spectrum Therapy, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Spectrum Therapy, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Spectrum Therapy, PLLC. 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 Therapy, PLLC was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.