Individual provider Active NPI

Petora Manetto Spratt, PT

  • Pediatric Physical Therapist
  • Centennial, CO
National Provider Identifier
1386612893
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
2318 Issued in CO
Practice address
5278 S Espana Cir
Centennial, CO 80015-3704
Phone
(303) 912-8318
Fax
(303) 627-4874
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 2318 CO Primary

Addresses

Primary practice location

5278 S Espana Cir
Centennial, CO 80015-3704

Mailing address

5278 S Espana Cir
Centennial, CO 80015-3704
Phone (303) 912-8318

Other identifiers 1

IdentifierTypeStateIssuer
62627864MedicaidCO

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

LicenseStateTypeSpecialty
2318COMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386612893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5278 S ESPANA CIR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800153704",
            "telephone_number": "303-912-8318",
            "fax_number": "303-627-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5278 S ESPANA CIR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800153704",
            "telephone_number": "303-912-8318",
            "fax_number": "303-627-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRATT",
        "first_name": "PETORA",
        "middle_name": "MANETTO",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CO",
            "license": "2318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62627864",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.