Active NPI
Dianne Marie Spomer, LMT
- Specialist
- Fairplay, CO
National Provider Identifier
1073816484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1264
- Practice address
- 548 Front St
Fairplay, CO 80440 - Phone
- (720) 346-3948
- NPI assigned
- Dec 8, 2010
- Last updated
- Dec 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1264 | CO | Primary |
Addresses
Primary practice location
548 Front St
Fairplay, CO 80440
Mailing address
PO Box 9378
Breckenridge, CO 80424-9031
Phone (720) 346-3948
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1264 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291766400000",
"number": "1073816484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9378",
"city": "BRECKENRIDGE",
"state": "CO",
"postal_code": "804249031",
"telephone_number": "720-346-3948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "548 FRONT ST",
"city": "FAIRPLAY",
"state": "CO",
"postal_code": "80440",
"telephone_number": "720-346-3948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPOMER",
"first_name": "DIANNE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-08",
"last_updated": "2010-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "1264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairplay, CO
- Salida Hospital District (Fairplay Physical Therapy)
- Patricia Schoville, N.P.
- South Park Ambulance District
- South Park Medical Group,PC
- Emma Jayne Spofford, CMT
- Summit Community Care Clinic, Inc. (Elevated Community Health)
- Summit Community Care Clinic, Inc. (Elevated Community Health)
- Timberline Clinic, Inc.
- Susan Hele Van Orden, P.T.
- Jack Walsh
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.