Mara M. Spencer, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5696-024 Issued in WI

Practice address

14555 W National Ave
Ste. 135
New Berlin, WI 53151-4494

Phone

(262) 827-3180

Fax

(262) 827-3180

NPI assigned

Jan 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mara M. Robichaud Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Apps Chiropractic and Wellness Center Inc

  • Chiropractor
  • Wauwatosa, WI
  • NPI 1336276625
  NPD (past)
• Aurora Advanced Healthcare Inc

  • Durable Medical Equipment & Medical Supplies
  • Summit, WI
  • NPI 1477186633
  NPD (past)
• Commonwealth Medical Group, LLC

  • Internal Medicine Physician
  • West Allis, WI
  • NPI 1477500361

  Physical Therapist

  NPD (past)
• Evolution Exercise & Spine Center

  • Physical Therapist
  • Pewaukee, WI
  • NPI 1558306332
  NPD (past)
• Medical Associates Health Centers-Occupational Health

  • Occupational Medicine Physician
  • Menomonee Falls, WI
  • NPI 1205910585
  NPD (past)
• Prohealth Medical Group Inc.

  • Pediatrics Physician
  • Waukesha, WI
  • NPI 1356322440
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063563286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 S 70TH ST",
            "address_2": "STE. 101",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143147",
            "telephone_number": "414-777-5100",
            "fax_number": "414-777-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 W NATIONAL AVE",
            "address_2": "STE. 135",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531514494",
            "telephone_number": "262-827-3180",
            "fax_number": "262-827-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "MARA",
        "middle_name": "M.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "5696-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5696-024",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARA",
            "last_name": "ROBICHAUD",
            "middle_name": "M.",
            "credential": "M.P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angela Solberg, DPT
• Brittany Cuevas Solwold, AU.D, F-AAA, CCC-A
• Jodi O Spahr, CPNP
• Mary Spath, PTA
• Specialized Medical Services, Inc.
• Jean Elisabeth Splitgerber, OTR
• Stafford Chiropractic
• Michelle C Stafford, DC
• Scott William Stauder, MD
• Tina Marie Stefaniak, L.P.N. #306931-31

• Physical Therapist in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.