Active NPI
Tracey Kimberly Spears, PTA
- Physical Therapy Assistant
- Southfield, MI
National Provider Identifier
1154477966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 26900 Franklin Rd
Southfield, MI 48034-5312 - Phone
- (248) 350-8070
- Fax
- (248) 350-8078
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
26900 Franklin Rd
Southfield, MI 48034-5312
Mailing address
22627 Strawberry CT
101
Novi, MI 48375-4676
Phone (313) 433-7477
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154477966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22627 STRAWBERRY CT",
"address_2": "101",
"city": "NOVI",
"state": "MI",
"postal_code": "483754676",
"telephone_number": "313-433-7477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26900 FRANKLIN RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480345312",
"telephone_number": "248-350-8070",
"fax_number": "248-350-8078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEARS",
"first_name": "TRACEY",
"middle_name": "KIMBERLY",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
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.