Individual provider Active NPI

Spencer Kalman, PT, DPT

  • Physical Therapist
  • North Chesterfield, VA
National Provider Identifier
1174250302
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305215247 Issued in VA
Practice address
100 Gateway Centre Pkwy # 205a
North Chesterfield, VA 23235-5174
Phone
(804) 377-1188
NPI assigned
Aug 8, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305215247 VA Primary

Addresses

Primary practice location

100 Gateway Centre Pkwy # 205a
North Chesterfield, VA 23235-5174

Mailing address

1814 Highpoint Ave Apt 1142
Richmond, VA 23230-4313
Phone (703) 907-9282

Other practice location 1

2000 Wilkes Ridge Dr
Richmond, VA 23233-7632
Phone (804) 877-4000

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305215247VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therefdoc Physical Therapy, LLC CurrentSince Jan 8, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1174250302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 HIGHPOINT AVE APT 1142",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304313",
            "telephone_number": "703-907-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GATEWAY CENTRE PKWY # 205A",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355174",
            "telephone_number": "804-377-1188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Wilkes Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232337632",
            "country_code": "US",
            "telephone_number": "804-877-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALMAN",
        "first_name": "SPENCER",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.