Individual provider Active NPI

Karen Elizabeth Spadoni, PT

  • Physical Therapist
  • Easton, PA
National Provider Identifier
1215288303
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT022266 Issued in PA
Practice address
400 S Greenwood Ave
Easton, PA 18045-3776
Phone
(610) 861-8080
Fax
(610) 861-0854
NPI assigned
Sep 28, 2012
Last updated
Sep 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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 PT022266 PA Primary

Addresses

Primary practice location

400 S Greenwood Ave
Easton, PA 18045-3776

Mailing address

2775 Schoenersville Rd
Bethlehem, PA 18017-7307
Phone (610) 861-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121019000149 PA Practitioner - Physical Therapist in Private Practice 1355591710 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT022266PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pivot Physical Therapy of Pennsylvania, LLC Physical Therapist CurrentSince Apr 1, 2017 Accepting new patients
Dynamic Therapy Services, LLC Physical Therapist Past Accepting new patients

Locations

824 McAlpine St
Ste 5
Avoca, PA 18641
Phone (570) 471-7662

298 W South Ave
Canton, PA 17724
Phone (570) 673-5551

328 Market St
Lewisburg, PA 17837
Phone (570) 768-4922

417 Grow Ave
Montrose, PA 18801
Phone (570) 278-1101

655 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2142

24569 Route 6
#C
Towanda, PA 18848
Phone (570) 265-1111

130 W Main St
Ste 100B
Trappe, PA 19426
Phone (484) 471-6850

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1215288303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 SCHOENERSVILLE RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177307",
            "telephone_number": "610-861-8080",
            "fax_number": "610-861-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S GREENWOOD AVE",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180453776",
            "telephone_number": "610-861-8080",
            "fax_number": "610-861-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADONI",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.