Spencer Farrar, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016201 Issued in OH

Practice address

201 Front St
Suite 104
Berea, OH 44017-1998

Phone

(440) 260-7670

Fax

(440) 260-7671

NPI assigned

Mar 3, 2016

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 OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Bedford, OH
  • NPI 1689194755
  Medicare reassignment
• Synergy Physical Therapy and Wellness, LLC

  • Physical Therapy Clinic/Center
  • Ashtabula, OH
  • NPI 1942450622

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1134589112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 STATE RD",
            "address_2": "SUITE 102",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440045957",
            "telephone_number": "440-997-0014",
            "fax_number": "440-998-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FRONT ST",
            "address_2": "SUITE 104",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171998",
            "telephone_number": "440-260-7670",
            "fax_number": "440-260-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRAR",
        "first_name": "SPENCER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT016201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Ermakov
• Vincent Evanoff, PA-C
• Jacklyn Ann Fairchild, P.C., N.C.C
• Mackenzie Paige Faluski
• Annmarie Fani
• Ladislav Fedorko, MD
• Melanie Fenske, RN
• Diane Ferry
• Caitlin Filips, O.D.
• Catherine Filkill

• Physical Therapist in Berea, OH
• Providers in Berea, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.