Ryan Spencer

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12688 Issued in AZ

Practice address

3744 E Indian School Rd
Phoenix, AZ 85018-5129

Phone

(602) 888-9348

Fax

(602) 563-6810

NPI assigned

Jan 23, 2017

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 AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Streamline Performance Physical TherapyGroup PAC ID 0042674731, 5 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 and National Provider Directory roles.

• Streamline Performance Physical Therapy

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
  • NPI 1932871084

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Ideal Rehabilitation LLC

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
  • NPI 1831353614
  NPD (past)

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1235676784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8214 E WHITTON AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515824",
            "telephone_number": "602-888-9348",
            "fax_number": "602-563-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3744 E INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185129",
            "telephone_number": "602-888-9348",
            "fax_number": "602-563-6810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4225 E Windrose Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850327580",
            "country_code": "US",
            "telephone_number": "602-888-9348",
            "fax_number": "602-563-6810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2952 N Hayden Rd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852516615",
            "country_code": "US",
            "telephone_number": "602-888-9348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-23",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "12688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha L S Spencer, PH.D.
• Mitchell Wade Spencer, DO
• Nadezhda Spencer
• Paige Spencer, RN
• Riley Kyle Spencer, D.O.
• Sarah Spencer, NP
• Sharon Lee Spencer, PH.D.
• Wendy Michelle Spencer, PSY.D.
• Jenna Spenlau, DPT
• Justine A Sperber, MSW, LCSW

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.