Individual provider Active NPI

Katherine Spencer, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1003152398
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
035868-1 Issued in NY
Practice address
201 W 108TH St Apt 41
New York, NY 10025-2901
Phone
(585) 737-2360
NPI assigned
Dec 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 035868-1 NY Primary

Addresses

Primary practice location

201 W 108TH St Apt 41
New York, NY 10025-2901

Mailing address

201 W 108TH St Apt 41
New York, NY 10025-2901
Phone (585) 737-2360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035868-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Physical Therapy, PC Physical Therapist CurrentSince Mar 3, 2015 Accepting new patients
Dee Physical Therapy Services PLC Physical Therapist CurrentSince Aug 1, 2016 Accepting new patients

Locations

1385 Boston Post Rd
Larchmont, NY 10538
Phone (914) 315-1800

200 Park Ave
New York, NY 10166
Phone (212) 953-9494

118 E 28th St
Rm 208
New York, NY 10016
Phone (646) 654-7835

166 Athletic Dr
Shelburne, VT 05482
Phone (802) 985-4440

23 San Remo Dr
Ste 101
South Burlington, VT 05403
Phone (802) 865-0010

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1003152398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 108TH ST APT 41",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252901",
            "telephone_number": "585-737-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W 108TH ST APT 41",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252901",
            "telephone_number": "585-737-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "KATHERINE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-14",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035868-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.