Active NPI
Jennifer Cole Spano, PT
- Physical Therapist
- Ithaca, NY
National Provider Identifier
1003882168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 016373
- Practice address
- 111 Kay St
Ithaca, NY 14850-1703 - Phone
- (607) 257-2743
- Fax
- (607) 257-5809
- NPI assigned
- Feb 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 016373 | NY | Primary |
Addresses
Primary practice location
111 Kay St
Ithaca, NY 14850-1703
Mailing address
111 Kay St
Ithaca, NY 14850
Phone (607) 257-2743
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alise Chiropractic Health & Wellness, PLLC | Past | Accepting new patients | |
| Sandra J Uppvall, PT, LMT | Past | Accepting new patients |
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.
-
- Chiropractor
- Ithaca, NY
- NPI 1578736385
-
- Specialist
- Ithaca, NY
- NPI 1629290903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294617600000",
"number": "1003882168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 KAY ST",
"city": "ITHACA",
"state": "NY",
"postal_code": "14850",
"telephone_number": "607-257-2743",
"fax_number": "607-257-5809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 KAY ST",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501703",
"telephone_number": "607-257-2743",
"fax_number": "607-257-5809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE SPANO",
"first_name": "JENNIFER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2011-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "016373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.