Active NPI
Jacqueline Ann Spencer, PT, DPT
- Physical Therapist
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501303557
- Practice address
- 4401 W 13 Mile Rd
Royal Oak, MI 48073-6516 - Phone
- (248) 566-3525
- Fax
- (248) 566-3527
- NPI assigned
- Oct 17, 2024
- 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 | 5501303557 | MI | Primary |
Addresses
Primary practice location
4401 W 13 Mile Rd
Royal Oak, MI 48073-6516
Mailing address
33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Other practice location 1
6405 Telegraph Rd Ste F1
Bloomfield Hills, MI 48301-1775
Phone (248) 633-2980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4401 W 13 Mile Rd
Royal Oak, MI 48073-6516
Phone (616) 835-9211
6405 Telegraph Rd
Suite F1
Bloomfield Hills, MI 48301-1775
Phone (248) 633-2980
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501303557 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
| Michigan Orthopedic Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Michigan Orthopaedic Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Team Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
Locations
16000 Southfield Rd
Allen Park, MI 48101
Phone (313) 359-8867
485 Columbia Ave E
Ste 10
Battle Creek, MI 49014
Phone (269) 719-8110
6405 Telegraph Rd
Ste F1
Bloomfld Hls, MI 48301
Phone (248) 633-2980
33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100
4401 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 566-3525
6024 Livernois Rd
Troy, MI 48098
Phone (248) 817-6110
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Royal Oak, MI
- NPI 1518224013
Physical Therapist
-
- Physical Therapist
- Bloomfield Hills, MI
- NPI 1548932619
-
- Physical Therapy Clinic/Center
- Royal Oak, MI
- NPI 1801149695
Physical Therapist
-
- Physical Therapist
- Marietta, GA
- NPI 1508538158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1376364950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE STE 104",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480354258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 W 13 MILE RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736516",
"telephone_number": "248-566-3525",
"fax_number": "248-566-3527"
}
],
"practiceLocations": [
{
"address_1": "6405 Telegraph Rd Ste F1",
"address_purpose": "LOCATION",
"city": "Bloomfield Hills",
"state": "MI",
"postal_code": "483011775",
"country_code": "US",
"telephone_number": "248-633-2980",
"fax_number": "248-633-2981",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPENCER",
"first_name": "JACQUELINE",
"middle_name": "ANN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-17",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501303557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.