Olivia Eshaya Spung, ALABAMA PTA11762

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA11762 Issued in AL

Practice address

650 9TH Ave SW
Bessemer, AL 35022-4502

Phone

(205) 305-1710

NPI assigned

Jul 25, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Mississippi Federal Injury Doctors

  • Rehabilitation Chiropractor
  • Ridgeland, MS
  • NPI 1225826977
  NPD

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1295563781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 WOODLAND RIDGE RD",
            "city": "ODENVILLE",
            "state": "AL",
            "postal_code": "351206774",
            "telephone_number": "303-888-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 9TH AVE SW",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350224502",
            "telephone_number": "205-305-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPUNG",
        "first_name": "OLIVIA",
        "middle_name": "ESHAYA",
        "credential": "ALABAMA PTA11762",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA11762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micah Spivey
• Amanda Przekora Spradley
• Esther Shea Spradlin
• Erica Spraggins, CRNA
• Leslie Spruill, RD, LD, MS
• Ryan Christopher Stalker, PHARM.D.
• Zachary Stamps
• Deborah Ann Stanford, MD
• Santonia Stanford, PHARM D
• Kylie Stansell

• Physical Therapy Assistant in Bessemer, AL
• Providers in Bessemer, AL by specialty
• Physical Therapy Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.