Angela Michelle Spencer, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

03497 Issued in IA

Practice address

3030 100TH St
Urbandale, IA 50322-3865

Phone

(515) 410-2908

Fax

(515) 410-2909

NPI assigned

Jun 24, 2006

Last updated

Mar 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Angela Mann Former name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Sanford School of Medicine of University of South Dakota, 2002

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Champions Recovery Room and Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Urbandale, IA
  • NPI 1760971980

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Des Moines, IA
  • NPI 1871900985

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1265468037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 100TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223865",
            "telephone_number": "515-720-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 100TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223865",
            "telephone_number": "515-410-2908",
            "fax_number": "515-410-2909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "983 E Hillcrest Ave",
            "address_purpose": "LOCATION",
            "city": "Indianola",
            "state": "IA",
            "postal_code": "501251365",
            "country_code": "US",
            "telephone_number": "515-962-5925",
            "fax_number": "515-962-5926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3030 100th St",
            "address_purpose": "LOCATION",
            "city": "Urbandale",
            "state": "IA",
            "postal_code": "503223865",
            "country_code": "US",
            "telephone_number": "515-410-2908",
            "fax_number": "515-410-2909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03497",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IA",
            "license": "03497",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "MANN",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebekah Smith, PTA
• SMMC in-Home Care
• Sober Strategies Inc.
• Soulutions Counseling LLC
• Southerncare, Inc. (SouthernCare Des Moines)
• Spirit Homecare, LLC (Spirit Cares)
• Shawn Spooner, MD
• Sports Mental Skills Training LLC
• Stacey's Bra and Lingerie Shop, Inc (Stacey's Mastectomy Center)
• Tina L Starkweather, DPM

• Physical Therapist in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.