Active NPI
Spencer Joseph Muro, D.P.T
- Physical Therapist
- Fort Eustis, VA
National Provider Identifier
1073960720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305209458
- Practice address
- 576 Jefferson Ave
Fort Eustis, VA 23604-1373 - Phone
- (757) 820-1076
- NPI assigned
- May 23, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305209458 | VA | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 2305209458 | VA |
Addresses
Primary practice location
576 Jefferson Ave
Fort Eustis, VA 23604-1373
Mailing address
700 River Rd
Newport News, VA 23601-3913
Phone (757) 344-4770
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 |
|---|---|---|---|
| 2305209458 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1073960720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 RIVER RD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236013913",
"telephone_number": "757-344-4770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 JEFFERSON AVE",
"city": "FORT EUSTIS",
"state": "VA",
"postal_code": "236041373",
"telephone_number": "757-820-1076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURO",
"first_name": "SPENCER",
"middle_name": "JOSEPH",
"credential": "D.P.T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-23",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305209458",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "VA",
"license": "2305209458",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Eustis, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.