Active NPI
Cheyenne Rose Spencer, PT, DPT
- Physical Therapist
- Murrieta, CA
National Provider Identifier
1255811220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 295354
- Practice address
- 25495 Medical Center Dr Ste 304
Murrieta, CA 92562-4904 - Phone
- (951) 696-7474
- Fax
- (951) 696-7575
- NPI assigned
- Aug 18, 2018
- Sex
- Female
- 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 | 295354 | CA | Primary |
Addresses
Primary practice location
25495 Medical Center Dr Ste 304
Murrieta, CA 92562-4904
Mailing address
3337 Red Mountain Heights Dr
Fallbrook, CA 92028-9755
Phone (805) 587-3631
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
| License | State | Type | Specialty |
|---|---|---|---|
| 295354 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534550400000",
"number": "1255811220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3337 RED MOUNTAIN HEIGHTS DR",
"city": "FALLBROOK",
"state": "CA",
"postal_code": "920289755",
"telephone_number": "805-587-3631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25495 MEDICAL CENTER DR STE 304",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925624904",
"telephone_number": "951-696-7474",
"fax_number": "951-696-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "CHEYENNE",
"middle_name": "ROSE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-18",
"last_updated": "2018-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "295354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.