Individual provider Active NPI

Theresa M Speziale, DPT

  • Physical Therapist
  • Camp Hill, PA
National Provider Identifier
1306073960
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019790 Issued in PA
Practice address
3399 Trindle Rd
Floor 2
Camp Hill, PA 17011-4413
Phone
(717) 920-2620
Fax
(717) 920-2621
NPI assigned
Jun 22, 2009
Last updated
Sep 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT019790 PA Primary

Addresses

Primary practice location

3399 Trindle Rd
Floor 2
Camp Hill, PA 17011-4413

Mailing address

3399 Trindle Rd
Floor 2
Camp Hill, PA 17011-4413
Phone (717) 920-2620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090730000339 PA Practitioner - Physical Therapist in Private Practice 5193878734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Surgeons LTDGroup PAC ID 4385535244, 92 clinicians

Practice addresses (Care Compare)

3399 Trindle Rd
Camp Hill, PA 17011-4407
Phone (717) 920-2620

450 Powers Ave
Harrisburg, PA 17109-5933
Phone (717) 920-4950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jul 4, 2014 Accepting new patients
Orthopedic Surgeons LTD Physical Therapist Current Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
Osl Dba Orthopedic Institute of PA Physical Therapist CurrentSince Oct 14, 2016 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jul 4, 2014 Accepting new patients
Orthopedic Surgeons LTD Physical Therapist CurrentSince Oct 14, 2016 Accepting new patients
Orthopedic Surgeons LTD Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3399 Trindle Rd
Camp Hill, PA 17011
Phone (717) 901-4236

3399 Trindle Rd
Fl 2
Camp Hill, PA 17011
Phone (717) 920-2620

250 Alexander Spring Rd
Fl 2
Carlisle, PA 17015
Phone (717) 920-2620

8205 Presidents Dr
#2
Hummelstown, PA 17036
Phone (717) 803-2560

450 Powers Ave
Lower Paxton, PA 17109
Phone (717) 615-1409

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1306073960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 TRINDLE RD",
            "address_2": "FLOOR 2",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114413",
            "telephone_number": "717-920-2620",
            "fax_number": "717-920-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 TRINDLE RD",
            "address_2": "FLOOR 2",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114413",
            "telephone_number": "717-920-2620",
            "fax_number": "717-920-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEZIALE",
        "first_name": "THERESA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.