Active NPI
Myles Spearman, PT, DPT
- Physical Therapist
- Peoria, AZ
National Provider Identifier
1427774595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 31983
- Practice address
- 14050 N 83Rd Ave Ste 290
Peoria, AZ 85381-5650 - Phone
- (866) 839-6979
- Fax
- (916) 913-5646
- NPI assigned
- Oct 19, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 31983 | AZ | Primary |
Addresses
Primary practice location
14050 N 83Rd Ave Ste 290
Peoria, AZ 85381-5650
Mailing address
1051 S Dobson Rd Unit 22
Mesa, AZ 85202-3905
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1427774595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 S DOBSON RD UNIT 22",
"city": "MESA",
"state": "AZ",
"postal_code": "852023905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14050 N 83RD AVE STE 290",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853815650",
"telephone_number": "866-839-6979",
"fax_number": "916-913-5646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEARMAN",
"first_name": "MYLES",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-19",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "31983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.