Active NPI
Thomas Spevak, PT
- Physical Therapist
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05002211A
- Practice address
- 1375 N Wellness Way
Bloomington, IN 47404-9786 - Phone
- (812) 676-4111
- Fax
- (812) 676-4110
- NPI assigned
- Mar 24, 2010
- Last updated
- Dec 4, 2013
- Sex
- Male
- 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 | 05002211A | IN | Primary |
Addresses
Primary practice location
1375 N Wellness Way
Bloomington, IN 47404-9786
Mailing address
PO Box 1329
Bloomington, IN 47402-1329
Phone (812) 353-3087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, NY
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Gold Standard Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Affinity Rehabilitation LLP | Current | Accepting new patients | |
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
Locations
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
1155 S College Mall Rd
Ste A
Bloomington, IN 47401
Phone (812) 558-3356
1312 W Arch Haven Ave
Ste E
Bloomington, IN 47403
Phone (812) 336-8406
5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579
1505 US Highway 41
Ste A20
Schererville, IN 46375
Phone (219) 322-5560
500 N Columbus Ave
Mount Vernon, NY 10552
Phone (914) 266-3796
271 Madison Ave
Rm 1400
New York, NY 10016
Phone (212) 481-4022
536 Old Howell Rd
Greenville, SC 29615
Phone (877) 508-3237
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ATI Physical Therapy
- Physical Therapist
- Indianapolis, IN
- NPI 1316940505
-
- Physical Therapist
- Merrillville, IN
- NPI 1053833657
-
- Physical Therapy Clinic/Center
- De Witt, NY
- NPI 1346530169
-
- Physical Therapist
- New York, NY
- NPI 1265679849
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1700595089
Physical Therapist
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Physical Therapist
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386115200000",
"number": "1073837761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1329",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474021329",
"telephone_number": "812-353-3087",
"fax_number": "812-353-5859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 N WELLNESS WAY",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474049786",
"telephone_number": "812-676-4111",
"fax_number": "812-676-4110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEVAK",
"first_name": "THOMAS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-24",
"last_updated": "2013-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05002211A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.