Individual provider Active NPI

Amy Colleen Spezia, MPT

  • Physical Therapist
  • Cookeville, TN
National Provider Identifier
1386815405
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9889 Issued in TN
Practice address
1683 S. Jefferson Ave
Suite a
Cookeville, TN 38506
Phone
(931) 372-7529
Fax
(314) 567-4505
NPI assigned
Mar 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2007032189 MO
Physical Therapist 225100000X 9889 TN Primary

Addresses

Primary practice location

1683 S. Jefferson Ave
Suite a
Cookeville, TN 38506

Mailing address

3347 Timber View LN
Cookeville, TN 38506
Phone (314) 591-1794

Other names 1

  • Miss Amy Colleen Mohan Former name

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
2007032189MOMDPhysical Therapist
9889TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Solutions, PC Past Accepting new patients

Organizations & group practices 1

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": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1386815405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 TIMBER VIEW LN",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "38506",
            "telephone_number": "314-591-1794",
            "fax_number": "314-567-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1683 S. JEFFERSON AVE",
            "address_2": "SUITE A",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "38506",
            "telephone_number": "931-372-7529",
            "fax_number": "314-567-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEZIA",
        "first_name": "AMY",
        "middle_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2007032189",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MOHAN",
            "middle_name": "COLLEEN",
            "prefix": "MISS",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.