Active NPI
Stephen W Spanier, MSPT
- Physical Therapist
- Wallingford, PA
National Provider Identifier
1194976423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010576L
- Practice address
- 115 S Providence Rd
Wallingford, PA 19086-6333 - Phone
- (610) 565-3232
- NPI assigned
- Oct 6, 2008
- Last updated
- Oct 6, 2008
- Sex
- Male
- 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 Therapist | 225100000X | PT010576L | PA | Primary |
Addresses
Primary practice location
115 S Providence Rd
Wallingford, PA 19086-6333
Mailing address
1156 S Lehigh Cir
Swarthmore, PA 19081-2111
Phone (610) 544-0455
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT010576L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223251200000",
"number": "1194976423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1156 S LEHIGH CIR",
"city": "SWARTHMORE",
"state": "PA",
"postal_code": "190812111",
"telephone_number": "610-544-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 S PROVIDENCE RD",
"city": "WALLINGFORD",
"state": "PA",
"postal_code": "190866333",
"telephone_number": "610-565-3232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPANIER",
"first_name": "STEPHEN",
"middle_name": "W",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-06",
"last_updated": "2008-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT010576L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wallingford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.