Active NPI
Spencer G Plunkett, PTA
- Physical Therapy Assistant
- Hueytown, AL
National Provider Identifier
1336796267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA9136
- Practice address
- 2801 Allison Bonnett Memorial Drive
Hueytown, AL 35023-1859 - Phone
- (205) 545-9905
- Fax
- (205) 545-9969
- NPI assigned
- Aug 26, 2019
- Sex
- Male
- 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 Therapy Assistant | 225200000X | PTA9136 | AL | Primary |
Addresses
Primary practice location
2801 Allison Bonnett Memorial Drive
Hueytown, AL 35023-1859
Mailing address
8205 Presidents Dr
Hummelstown, PA 17036-8621
Phone (717) 839-2159
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 |
|---|---|---|---|
| PTA9136 | AL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1336796267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8205 PRESIDENTS DR",
"city": "HUMMELSTOWN",
"state": "PA",
"postal_code": "170368621",
"telephone_number": "717-839-2159",
"fax_number": "717-565-1104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 ALLISON BONNETT MEMORIAL DRIVE",
"city": "HUEYTOWN",
"state": "AL",
"postal_code": "350231859",
"telephone_number": "205-545-9905",
"fax_number": "205-545-9969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUNKETT",
"first_name": "SPENCER",
"middle_name": "G",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-26",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AL",
"license": "PTA9136",
"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 Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.