Individual provider Active NPI

Pamela G Spadoni, R.P.T.

  • Physical Therapist
  • Nazareth, PA
National Provider Identifier
1053537183
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT000750E Issued in PA
Practice address
2 Graceddale Ave
Physical Therapy Department
Nazareth, PA 18064-8785
Phone
(610) 746-1908
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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 PT000750E PA Primary

Addresses

Primary practice location

2 Graceddale Ave
Physical Therapy Department
Nazareth, PA 18064-8785

Mailing address

4537 Foxtail Dr
Nazareth, PA 18064-9666
Phone (610) 746-0140

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT000750EPAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1053537183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4537 FOXTAIL DR",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180649666",
            "telephone_number": "610-746-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GRACEDDALE AVE",
            "address_2": "PHYSICAL THERAPY DEPARTMENT",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180648785",
            "telephone_number": "610-746-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADONI",
        "first_name": "PAMELA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT000750E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nazareth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.