Kristen Ericka Spencer, MPT, PRC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008313 Issued in GA

Practice address

245 Peachtree Industrial Blvd Ste 100
Sugar Hill, GA 30518-9126

Phone

(478) 987-9697

NPI assigned

Nov 14, 2005

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1275514580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3685 ROSEHAVEN WAY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242260",
            "telephone_number": "478-987-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 PEACHTREE INDUSTRIAL BLVD STE 100",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305189126",
            "telephone_number": "478-987-9697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Lenox Pointe NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303247420",
            "country_code": "US",
            "telephone_number": "478-987-9697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "KRISTEN",
        "middle_name": "ERICKA",
        "name_prefix": "Mrs.",
        "credential": "MPT, PRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "008313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dong Mi Shon
• Garima Gomati Sinha
• Kimberly F Smith, PTA
• Adam James Snyder, PHARMD
• Jeremiah John Spearman, PA-C
• Spinalife, Inc.
• Sugar Hill Family and Cosmetic Dentistry
• Sugar Hill Smiles, Inc.
• Sugar Hill Spine and Wellness
• Sunflower Pediatrics LLC

• Physical Therapist in Sugar Hill, GA
• Providers in Sugar Hill, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.