Travis Spader, M.S.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QA09362 Issued in NJ

Practice address

2516 Highway 35
Manasquan, NJ 08736-1925

Phone

(732) 223-6309

Fax

(732) 223-6409

NPI assigned

Dec 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Physical Therapy, LLCGroup PAC ID 8527232412, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Active Physical Therapy, LLC

  • Physical Therapist
  • Manasquan, NJ
  • NPI 1982761391
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184786618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 DUNKLE RD",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087424352",
            "telephone_number": "732-714-0760",
            "fax_number": "732-223-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 HIGHWAY 35",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361925",
            "telephone_number": "732-223-6309",
            "fax_number": "732-223-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADER",
        "first_name": "TRAVIS",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA09362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander James Skoog, DPT
• Smile by Kyle (Brielle Hills Dental)
• James M Smith, PT
• Laurice H Smith, MS,OTR, L
• Sol Solutions LLC (Shore Dermatology)
• Sparano Face and Nasal Institute
• Anthony M Sparano, M.D.
• Specific Chiropractic Clinics of NJ, Inc (Shore Wellness Center)
• Speech at the Beach
• Joseph Michael Springer, PH.D.

• Physical Therapist in Manasquan, NJ
• Providers in Manasquan, NJ by specialty
• Physical Therapist in New Jersey

• 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.
• 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.