Individual provider Active NPI

Spencer Paul Flint

  • Physical Therapist
  • Hueytown, AL
National Provider Identifier
1336663939
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH8533 Issued in AL
Practice address
2801 Allison Bonnett Memorial Dr
Hueytown, AL 35023-1859
Phone
(205) 545-9905
Fax
(205) 545-9969
NPI assigned
Jul 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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 PTH8533 AL Primary

Addresses

Primary practice location

2801 Allison Bonnett Memorial Dr
Hueytown, AL 35023-1859

Mailing address

2801 Allison Bonnett Memorial Dr
Hueytown, AL 35023-1859
Phone (205) 545-9905

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231024003549 UT Practitioner - Physical Therapist in Private Practice 3779856851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

1157 N 300
Suite 211
Provo, UT 84604-6124
Phone (801) 357-1250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Sep 11, 2023 Accepting new patients
Ihc Health Services Inc Physical Therapist CurrentSince Sep 11, 2023 Accepting new patients

Locations

1157 N 300 W
Ste 211
Provo, UT 84604
Phone (801) 357-1250

5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050

765 E Market Place Dr
Spanish Fork, UT 84660
Phone (385) 344-5000

765 E Market Place Dr
#1
Spanish Fork, UT 84660

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1336663939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 ALLISON BONNETT MEMORIAL DR",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "350231859",
            "telephone_number": "205-545-9905",
            "fax_number": "205-545-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ALLISON BONNETT MEMORIAL DR",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "350231859",
            "telephone_number": "205-545-9905",
            "fax_number": "205-545-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLINT",
        "first_name": "SPENCER",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hueytown, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; 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.