Individual provider Active NPI

Jacqueline Ann Spencer, PT, DPT

  • Physical Therapist
  • Royal Oak, MI
National Provider Identifier
1376364950
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501303557 Issued in MI
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

Updated by the provider on Jan 22, 2026

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 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

Enrollment IDStateProvider typePAC IDDetails
I20241203003511 MI Practitioner - Physical Therapist in Private Practice 9032645825 Reassigns benefits to 2 organizations

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
Michigan Orthopaedic Physical TherapyGroup PAC ID 8325294614, 13 clinicians
Team Rehabilitation Services LLCGroup PAC ID 2264479518, 569 clinicians

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

LicenseStateTypeSpecialty
5501303557MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Feb 2, 2026 Accepting new patients
Michigan Orthopedic Rehabilitation LLC Physical Therapist CurrentSince Oct 20, 2024 Accepting new patients
Michigan Orthopaedic Physical Therapy Physical Therapist CurrentSince Nov 14, 2024 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Feb 2, 2026 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.

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.

Verify at the official NPI Registry.