Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spectrum Orthopedic Sport Therapy

Organization Physical Therapist · NPI 1417137530

Spectrum Orthopedic Sport Therapy provides Physical Therapist services in San Carlos, California. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1140 Laurel St Ste D
San Carlos, CA 94070-5054
Phone: (650) 654-1223
Fax: (650) 654-1205
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1417137530
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Burns — Physical Therapist Owner · (650) 654-1223
NPI enumeratedNovember 6, 2007
Last updated in NPPESJuly 26, 2022
Certification dateJuly 26, 2022
Mailing address1140 Laurel St Ste D, San Carlos, CA 94070-5054

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