Ann Marie Sprague, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5137 Issued in OR

Practice address

21850 Highway 62 Ste 203
Shady Cove, OR 97539-8715

Phone

(541) 941-5170

Fax

(541) 878-8111

NPI assigned

Jun 10, 2006

Last updated

Mar 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Direct Physical Therapy, LLC

  • Physical Therapist
  • Shady Cove, OR
  • NPI 1205109014
  Medicare reassignment NPD
• Upper Rogue Physical Therapy

  • Physical Therapist
  • Shady Cove, OR
  • NPI 1043575418
  Authorized official Same address or phone
• Complete Care Chiropractic and Massage

  • Multi-Specialty Clinic/Center
  • Eagle Point, OR
  • NPI 1619107695
  NPD (past)
• Complete Integrative Care, LLC

  • Family Medicine Physician
  • Medford, OR
  • NPI 1073061099
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1124060835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 PATTON LN",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209135",
            "telephone_number": "541-941-5170",
            "fax_number": "541-878-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21850 HIGHWAY 62 STE 203",
            "city": "SHADY COVE",
            "state": "OR",
            "postal_code": "975398715",
            "telephone_number": "541-941-5170",
            "fax_number": "541-878-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "836420009",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID UNSPECIFIED",
            "identifier": "R165938.",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE",
            "identifier": "J691808",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shady Cove Chiropractic and Massage, LLC
• Shady Cove Chiropractic, LLC
• Shady Cove Family Dentistry
• Sisters of Providence in Oregon (PMG South Shady Cove)
• Shane Smedley, QMHA-R, CRM, PSS-AD
• Sarah Joyce Spriggs, LMT, BCTMB
• David Lee Thompson, PTA
• Upper Rogue Physical Therapy
• Ginger Marie Whitt X

• Physical Therapist in Shady Cove, OR
• Providers in Shady Cove, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.