Active NPI
Christy Spelman, P.T.
- Physical Therapist
- Ronkonkoma, NY
National Provider Identifier
1336685296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 62014836
- Practice address
- 3279 Veterans Memorial Hwy
Ronkonkoma, NY 11779-7673 - Phone
- (631) 580-8720
- Fax
- (631) 580-8727
- NPI assigned
- Jan 16, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 62014836 | NY | Primary |
Addresses
Primary practice location
3279 Veterans Memorial Hwy
Ronkonkoma, NY 11779-7673
Mailing address
10 Holly Hill CT
Holtsville, NY 11742-2527
Phone (631) 848-0747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62014836 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484524800000",
"number": "1336685296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 HOLLY HILL CT",
"city": "HOLTSVILLE",
"state": "NY",
"postal_code": "117422527",
"telephone_number": "631-848-0747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3279 VETERANS MEMORIAL HWY",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117797673",
"telephone_number": "631-580-8720",
"fax_number": "631-580-8727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPELMAN",
"first_name": "CHRISTY",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-16",
"last_updated": "2017-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "62014836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ronkonkoma, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.