Alicia Jean Spence, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008443L Issued in PA

Practice address

805 S Atherton St
Suite 103
State College, PA 16801-4671

Phone

(814) 278-1912

Fax

(814) 278-1921

NPI assigned

Sep 29, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Energy Rehab Wellness and TrainingGroup PAC ID 1153540620, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Energy Rehab Wellness and Training

  • Physical Therapist
  • State College, PA
  • NPI 1922414473
  Medicare reassignment Care Compare group NPD
• Phoenix Rehabilitation and Health Services, Inc.

  • Speech-Language Pathologist
  • Blairsville, PA
  • NPI 1972604783
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1144312620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 INNOVATION DRIVE",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157178096",
            "telephone_number": "724-343-4060",
            "fax_number": "724-343-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S ATHERTON ST",
            "address_2": "SUITE 103",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014671",
            "telephone_number": "814-278-1912",
            "fax_number": "814-278-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "ALICIA",
        "middle_name": "JEAN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008443L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMER/HELATH ASSUR.",
            "identifier": "418207",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "28215",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL/KHPC",
            "identifier": "50056570",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Solomon, MS, RD, LDN
• Katie Solon, LA.C
• Kristin Lynn Sondys, MS, LAT, ATC
• Alka Sood, MD
• Specialty Medical Care Services, LLC
• Brian Allen Spencer, D.O.
• Evan Spencer
• Douglas Alan Spotts, M.D.
• David Sprague
• Phyllis C Stackhouse, CRNP

• Physical Therapist in State College, PA
• Providers in State College, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.