Active NPI
Spenser Pete Smith
- Physical Therapist
- Longmont, CO
National Provider Identifier
1427908912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0020819
- Practice address
- 1750 E Ken Pratt Blvd # 80504
Longmont, CO 80504-5311 - Phone
- (720) 718-1310
- NPI assigned
- Feb 2, 2026
- 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 | PTL.0020819 | CO | Primary |
Addresses
Primary practice location
1750 E Ken Pratt Blvd # 80504
Longmont, CO 80504-5311
Mailing address
10670 Jake Jabs Blvd Apt 2207
Firestone, CO 80504-5996
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0020819 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1427908912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10670 JAKE JABS BLVD APT 2207",
"city": "FIRESTONE",
"state": "CO",
"postal_code": "805045996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 E KEN PRATT BLVD # 80504",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805045311",
"telephone_number": "720-718-1310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SPENSER",
"middle_name": "PETE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-02",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0020819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.