Spectrum Orthopedic Sport Therapy
NPI 1417137530 · Physical Therapist · San Carlos, CA
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Spectrum Orthopedic Sport Therapy is a Physical Therapist organization in San Carlos, CA (NPI 1417137530).
Provider details
- NPI number
- 1417137530
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kenneth Burns, Physical Therapist Owner(650) 654-1223
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-11-06
- Last updated
- 2022-07-26
- Certified
- 2022-07-26
Frequently asked questions
- What is Spectrum Orthopedic Sport Therapy's NPI number?
- Spectrum Orthopedic Sport Therapy's National Provider Identifier (NPI) is 1417137530, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spectrum Orthopedic Sport Therapy?
- Spectrum Orthopedic Sport Therapy is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Spectrum Orthopedic Sport Therapy located?
- Spectrum Orthopedic Sport Therapy's practice location on file with NPPES is 1140 Laurel St Ste D, San Carlos, CA 94070-5054.
- What is Spectrum Orthopedic Sport Therapy's phone number?
- The practice phone number listed in the NPPES registry for Spectrum Orthopedic Sport Therapy is (650) 654-1223.
- Does Spectrum Orthopedic Sport Therapy accept Medicare?
- Spectrum Orthopedic Sport Therapy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Spectrum Orthopedic Sport Therapy?
- The authorized official listed on Spectrum Orthopedic Sport Therapy's NPPES record is Kenneth Burns, Physical Therapist Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spectrum Orthopedic Sport Therapy's NPI active?
- Yes — Spectrum Orthopedic Sport Therapy's NPI (1417137530) is active in the NPPES registry as of the last update on 2022-07-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.