Individual provider Active NPI

Spencer Kirsteatter, DPT

  • Physical Therapist
  • Payson, AZ
National Provider Identifier
1043045578
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033953 Issued in AZ
Practice address
126 E Main St
Payson, AZ 85541-5488
Phone
(928) 468-8907
NPI assigned
Sep 4, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP033302T VA
Physical Therapist 225100000X 16721-24 WI
Physical Therapist 225100000X 033953 AZ Primary

Addresses

Primary practice location

126 E Main St
Payson, AZ 85541-5488

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

N2539 Sleepy Hollow Rd
Kewaunee, WI 54216-9636
Phone (920) 304-9089

Other practice location 2

101 W 14th St
Front Royal, VA 22630-3607
Phone (540) 636-3500

Other practice location 3

54 Franklin St
Weyers Cave, VA 24486-2347
Phone (540) 234-8800

Other practice location 4

5977 E Grant Rd Ste 101
Tucson, AZ 85712-2369
Phone (520) 448-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250102003034 AZ Practitioner - Physical Therapist in Private Practice 1456888411 Reassigns benefits to 2 organizations
I20250113000789 VA Practitioner - Physical Therapist in Private Practice 1456888411 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, 450 clinicians

Practice addresses (Care Compare)

265 W Ina Rd
Suite 103
Tucson, AZ 85704-6204
Phone (520) 694-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033953AZMDPhysical Therapist
CP033302TVAMDPhysical Therapist
16721-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Jan 19, 2026 Accepting new patients
Benchmark Physical Therapy of VA, LLC Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients
Benchmark Physical Therapy of VA, LLC Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients
Drayer Physical Therapy Virginia, LLC Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients
Drayer PT of VA LLC Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients
Drayer PT of VA LLC Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Jan 19, 2026 Accepting new patients
Ideal Rehabilitation LLC PastSince Dec 1, 2024 Accepting new patients
Drayer Physical Therapy Virginia, LLC Physical Therapist Past Accepting new patients

Locations (25 of 26)

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

885 E Warner Rd
Gilbert, AZ 85296
Phone (480) 681-6400

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

10165 E Hampton Ave
Ste 111
Mesa, AZ 85209
Phone (480) 354-5424

126 E Main St
Payson, AZ 85541
Phone (928) 468-8907

126 E Main St
Ste C
Payson, AZ 85541
Phone (928) 468-8907

2830 N 42nd St
Phoenix, AZ 85008
Phone (602) 954-7742

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

20851 E Rittenhouse Rd
Ste E103
Queen Creek, AZ 85142
Phone (480) 677-2800

37200 N Gantzel Rd
Ste 260
San Tan Valley, AZ 85140
Phone (480) 677-3294

9917 N 95th St
Scottsdale, AZ 85258
Phone (480) 205-4227

5925 W Arizona Pavilions Dr
Ste 115
Tucson, AZ 85743
Phone (520) 467-7690

5977 E Grant Rd
Ste 101
Tucson, AZ 85712
Phone (520) 448-5700

6380 E Grant Rd
Ste 100
Tucson, AZ 85715
Phone (520) 420-1150

265 W Ina Rd
Ste 103
Tucson, AZ 85704
Phone (520) 462-0510

2800 E Ajo Way
Ste 201
Tucson, AZ 85713
Phone (520) 462-0248

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

26106 Lee Hwy
Abingdon, VA 24211
Phone (276) 623-0274

101 W 14th St
Front Royal, VA 22630
Phone (540) 636-3500

313 Neff Ave
Ste C
Harrisonburg, VA 22801
Phone (540) 434-1200

4011B Wards Rd
Lynchburg, VA 24502
Phone (434) 284-7894

4165 Quarles Ct
#1
Rockingham, VA 22801
Phone (540) 437-7585

Organizations & group practices 11

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": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1043045578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E MAIN ST",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415488",
            "telephone_number": "928-468-8907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N2539 Sleepy Hollow Rd",
            "address_purpose": "LOCATION",
            "city": "Kewaunee",
            "state": "WI",
            "postal_code": "542169636",
            "country_code": "US",
            "telephone_number": "920-304-9089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W 14th St",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226303607",
            "country_code": "US",
            "telephone_number": "540-636-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "54 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Weyers Cave",
            "state": "VA",
            "postal_code": "244862347",
            "country_code": "US",
            "telephone_number": "540-234-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5977 E Grant Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122369",
            "country_code": "US",
            "telephone_number": "520-448-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRSTEATTER",
        "first_name": "SPENCER",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-04",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP033302T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16721-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "033953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.