Individual provider Active NPI

Spencer Daniel Fuehne, PT DPT

  • Physical Therapist
  • Aviston, IL
National Provider Identifier
1104305499
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.025808 Issued in IL
Practice address
820 Steel Bridge St
Aviston, IL 62216-4403
Phone
(618) 574-1825
Fax
(618) 574-1824
NPI assigned
Aug 8, 2018
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.025808 IL Primary

Addresses

Primary practice location

820 Steel Bridge St
Aviston, IL 62216-4403

Mailing address

15 Apex Dr
Highland, IL 62249-1282
Phone (877) 224-4354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210519001217 IL Practitioner - Physical Therapist in Private Practice 0345599155 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apexnetwork Aviston, LLCGroup PAC ID 6305252578, 3 clinicians

Practice addresses (Care Compare)

820 Steel Bridge St
Aviston, IL 62216-4403
Phone (618) 574-1824

Merit-based Incentive Payment System (MIPS)

Final score
76.03 of 100Reported as group
Quality
74.47
Improvement activities
40
Cost
66.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Therapy, LLC Physical Therapist CurrentSince Dec 31, 2022 Accepting new patients
Apexnetwork Aviston, LLC Physical Therapist CurrentSince Apr 26, 2021 Accepting new patients
Apex Physical Therapy, LLC Physical Therapist CurrentSince Dec 31, 2022 Accepting new patients
LMT of Illinois, LLC Physical Therapist CurrentSince Sep 6, 2021 Accepting new patients

Locations

820 Steel Bridge St
Aviston, IL 62216
Phone (618) 574-1824

538 Mason Dr
Breese, IL 62230
Phone (618) 623-0580

2323 Old Plank Rd
#A
Chester, IL 62233
Phone (618) 826-2949

1095 Belt Line Rd
Ste 400
Collinsville, IL 62234
Phone (618) 477-8550

200 Admiral Trost Rd
Ste 2
Columbia, IL 62236
Phone (618) 281-3433

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1104305499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 APEX DR",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491282",
            "telephone_number": "877-224-4354",
            "fax_number": "618-654-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 STEEL BRIDGE ST",
            "city": "AVISTON",
            "state": "IL",
            "postal_code": "622164403",
            "telephone_number": "618-574-1825",
            "fax_number": "618-574-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUEHNE",
        "first_name": "SPENCER",
        "middle_name": "DANIEL",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-08",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.025808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aviston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.

Verify at the official NPI Registry.