Spenser Lynass, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0019064 Issued in CO

Practice address

6169 S Balsam Way
Ste 110
Littleton, CO 80123-3000

Phone

(303) 948-1868

Fax

(303) 948-1741

NPI assigned

Oct 4, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Functional Performance Physical Therapy Center PLLCGroup PAC ID 0547305583, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Functional Performance Physical Therapy Center, PLLC

  • Physical Therapy Clinic/Center
  • Littleton, CO
  • NPI 1518193895
  Medicare reassignment Care Compare group
• Premier Physical Therapy, LLC

  • Physical Therapist
  • Westminster, CO
  • NPI 1407249774
  Medicare reassignment NPD
• Premier Physical Therapy

  • Physical Therapist
  • Westminster, CO
  • NPI 1790223477
  NPD (past)

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1427720846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GANNETT DR STE 200",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063266",
            "telephone_number": "207-482-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6169 S BALSAM WAY",
            "address_2": "STE 110",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233000",
            "telephone_number": "303-948-1868",
            "fax_number": "303-948-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNASS",
        "first_name": "SPENSER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-04",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT6052",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc.
• Luxottica of America Inc.
• Luxottica Retail North America Inc
• Darby Elizabeth Lyles, D.C.
• Melanie Lynn Lynass, RPH
• Amy Lynch, LCSW
• Jason Aaron Lynch, LCSW
• Megan Lynch, BCBA
• Taylor K Lynch, APRN
• Drew Lyneis, PT, DPT

• Physical Therapist in Littleton, CO
• Providers in Littleton, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.