Individual provider Active NPI

Jennifer Ann Spitz, PT

  • Physical Therapist
  • Natick, MA
National Provider Identifier
1235101155
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT23400 Issued in CA
Practice address
317 North Main St
Natick, MA 01760
Phone
(781) 400-4644
Fax
(781) 431-9152
NPI assigned
Feb 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 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 PT23400 CA Primary

Addresses

Primary practice location

317 North Main St
Natick, MA 01760

Mailing address

310 N Mound St
Nacogdoches, TX 75961-5032
Phone (936) 560-1618

Other names 1

  • Jennifer Ann Wigington Former name

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
PT23400CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center Imt San Francisco Ca PC Physical Therapist Past Accepting new patients
Wellspring Physical Therapy & Pilatesstudio, Inc. Physical Therapist PastSince Jun 1, 2005 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1235101155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N MOUND ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759615032",
            "telephone_number": "936-560-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 NORTH MAIN ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "01760",
            "telephone_number": "781-400-4644",
            "fax_number": "781-431-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZ",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT23400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WIGINGTON",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.