Carole Sussi Sponaugle, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT008757E Issued in PA

Practice address

600 Eden Road
Building I
Lancaster, PA 17601-4205

Phone

(717) 299-4829

Fax

(717) 295-3453

NPI assigned

Mar 19, 2007

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• S. June Smith Center

  • Social Worker
  • Lancaster, PA
  • NPI 1164550364
  NPD (past)
• The S. June Smith Center

  • Speech-Language Pathologist
  • Lancaster, PA
  • NPI 1356478937

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164546560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 HILLCREST RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032415",
            "telephone_number": "717-396-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EDEN ROAD",
            "address_2": "BUILDING I",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014205",
            "telephone_number": "717-299-4829",
            "fax_number": "717-295-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPONAUGLE",
        "first_name": "CAROLE",
        "middle_name": "SUSSI",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "PA",
            "license": "PT008757E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "17",
            "identifier": "0018895510001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spencer D Phillips MD Mdvip LTD
• Nancy L Sperry, CRNP
• Carol B Spicher, DIETICIAN
• James E Spicher, MD
• William M Spitler III, M.D.
• Christian Spriggs
• Angeline Aubrey Springer, MSOT OTR/L
• Robert Springer
• Springwell Counseling LLC
• Jaime Sprouse, LPN

• Pediatric Physical Therapist in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Pediatric Physical Therapist in Pennsylvania

• 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.

Verify at the official NPI Registry.