Individual provider Active NPI

Stephanie Lyn Spada, PHYSICAL THERAPIST

  • Physical Therapist
  • Rockaway, NJ
National Provider Identifier
1124062278
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00618700 Issued in NJ
Practice address
439 Route 46
Rockaway, NJ 07866-3622
Phone
(973) 983-6600
Fax
(973) 983-6633
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 40QA00618700 NJ Primary

Addresses

Primary practice location

439 Route 46
Rockaway, NJ 07866-3622

Mailing address

439 Route 46
Rockaway, NJ 07866-3622
Phone (973) 983-6600

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JZV Center for Rehabilitation of the Upper Extremity Inc PastSince Aug 1, 1994 Accepting new patients
Allied Therapy Associates, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124062278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 ROUTE 46",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663622",
            "telephone_number": "973-983-6600",
            "fax_number": "973-983-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 ROUTE 46",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663622",
            "telephone_number": "973-983-6600",
            "fax_number": "973-983-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADA",
        "first_name": "STEPHANIE",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00618700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.