Organization Active NPI

Melva J. Spangle, PLLC, P.T.

  • Orthopedic Physical Therapist
  • Gig Harbor, WA
National Provider Identifier
1306946124
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT00002474 Issued in WA
Legal business name
MELVA J. SPANGLE, PLLC, P.T.
Practice address
7306 Stinson Ave
Gig Harbor, WA 98335-1140
Phone
(253) 858-3332
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Susan L. Schoonover
Title
Office Manager
Phone
(253) 858-3332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X PT00002474 WA Primary

Addresses

Primary practice location

7306 Stinson Ave
Gig Harbor, WA 98335-1140

Mailing address

7306 Stinson Ave
Gig Harbor, WA 98335-1140
Phone (253) 858-3332

Other identifiers 1

IdentifierTypeStateIssuer
7232804MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306946124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7306 STINSON AVE",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351140",
            "telephone_number": "253-858-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7306 STINSON AVE",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351140",
            "telephone_number": "253-858-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVA J. SPANGLE, PLLC, P.T.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHOONOVER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-858-3332"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00002474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7232804",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.