NPIMap

Organization Active NPI

Spano PT LLC

  • Physical Therapist
  • Slidell, LA
National Provider Identifier
1376077057
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
08184 Issued in LA
Legal business name
SPANO PT LLC
Doing business as
Alpha Physical Therapy
Practice address
1290 Front St Ste 1B
Slidell, LA 70458-2000
Phone
(985) 326-7260
Fax
(985) 326-7261
NPI assigned
Apr 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Authorized official

Name
Dr. Ryan Spano, PT, DPTNPI 1235574096
Title
Owner/Physical Therapist
Phone
(985) 326-7260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 08184 LA Primary

Addresses

Primary practice location

1290 Front St Ste 1B
Slidell, LA 70458-2000

Mailing address

1290 Front St Ste 1B
Slidell, LA 70458-2000
Phone (985) 326-7260

Other names 1

  • Alpha Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180104000644 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0042579633 Receives reassigned benefits from 3 practitioners
Practice locations: Slidell, LA

National Provider Directory

National Provider Directory

Locations

1290 Front St
Slidell, LA 70458
Phone (985) 326-7260

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1376077057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 FRONT ST STE 1B",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582000",
            "telephone_number": "985-326-7260",
            "fax_number": "985-326-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 FRONT ST STE 1B",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582000",
            "telephone_number": "985-326-7260",
            "fax_number": "985-326-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANO PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "SPANO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "985-326-7260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.