Jenifer Lorraine Sprague, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT012732L Issued in PA

Practice address

2802 Jefferson CT
Ambler, PA 19002-3759

Phone

(267) 420-0966

Fax

(267) 482-9466

NPI assigned

May 1, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jenifer Alavi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Christine F. Hayes P.T, P.C.

  • Physical Therapy Clinic/Center
  • Paoli, PA
  • NPI 1356540041

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1104092063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 JEFFERSON CT",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190023759",
            "telephone_number": "267-420-0966",
            "fax_number": "267-482-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 JEFFERSON CT",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190023759",
            "telephone_number": "267-420-0966",
            "fax_number": "267-482-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "JENIFER",
        "middle_name": "LORRAINE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "PT012732L",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT012732L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENIFER",
            "last_name": "ALAVI",
            "credential": "DPT, CLT, CERT MDT,",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Kristin L Stadnycki
• Alan Michael Stark, DDS, PHD

• Orthopedic Physical Therapist in Ambler, PA
• Providers in Ambler, PA by specialty
• Orthopedic Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.