Eleanor L Spencer, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

30920 Issued in FL

Practice address

427 N Magnolia Ave Ste 100
Orlando, FL 32801-1524

Phone

(407) 896-1152

NPI assigned

Apr 20, 2021

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Stephanie C Spinelli and Associates

  • Pediatric Occupational Therapist
  • Orlando, FL
  • NPI 1083623896
  NPD

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1124609250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 DINNER LAKE DR",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338592149",
            "telephone_number": "740-856-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 N MAGNOLIA AVE STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011524",
            "telephone_number": "407-896-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "ELEANOR",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "30920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenrick Anthony Spence I, M.D., F.A.C.S.
• Jesusa T Spencer-Dejesus
• Andrea Spencer
• Corey Calvin Spencer, MD
• Daniel Patrick Spencer, PA
• John Warren Spencer, RRT
• Milaidi Spencer, RN
• Shamika Spencer, ANP-BC
• Shanan Spencer
• Zachary Joseph Spencer

• Physical Therapy Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.