Spencer Henry Tredo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21810 Issued in MD

Practice address

5435 Beaverkill Rd
Columbia, MD 21044-2359

Phone

(410) 740-0883

NPI assigned

May 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freedom Physical Therapy Services SCGroup PAC ID 8224938113, 29 clinicians

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 and National Provider Directory roles.

• Freedom Physical Therapy Services SC

  • Physical Therapist
  • Fox Point, WI
  • NPI 1063406544
  Medicare reassignment Care Compare group NPD
• Oahu Physio Therapy Inc

  • Physical Therapist
  • Honolulu, HI
  • NPI 1437366507
  NPD (past)
• THPT, Inc

  • Physical Therapist
  • Honolulu, HI
  • NPI 1619960275
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1124234877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S DECKER AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 BEAVERKILL RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442359",
            "telephone_number": "410-740-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREDO",
        "first_name": "SPENCER",
        "middle_name": "HENRY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward T Trapani, MD
• Katherine Anne Travers, MSW, LCSW-C
• Amanda Travis, RDH
• Patricia L Travis, CRNA
• Marquisha Traylor
• Sara Trescott, LCPC, NCC
• Jean Ann Tretler, R.N., IBCLC
• Carla Trevizo, PTA
• Trident Medical Group PA
• Anh Trinh

• Physical Therapist in Columbia, MD
• Providers in Columbia, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.