Active NPI
Spencer Edwards, DPT
- Orthopedic Physical Therapist
- Payson, AZ
National Provider Identifier
1467026591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- LPT-31746
- Practice address
- 126 E Main St Ste C
Payson, AZ 85541-5488 - Phone
- (928) 468-8907
- NPI assigned
- May 13, 2021
- Last updated
- Jun 21, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | LPT-31746 | AZ | Primary |
Addresses
Primary practice location
126 E Main St Ste C
Payson, AZ 85541-5488
Mailing address
512 W Longhorn Rd Unit 2
Payson, AZ 85541-4344
Phone (801) 602-7754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
405 W Main St
Suite D
Payson, AZ 85541-5345
Phone (928) 474-0429
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.22 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 84.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tenney Rehab | Physical Therapist | Current | Accepting new patients |
| BHSM Rehabilitation, LLC | Past | Accepting new patients | |
| BHSM Rehabilitation, LLC | Past | Accepting new patients |
Locations
405 W Main St
Ste D
Payson, AZ 85541
Phone (928) 474-0429
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Glendale, AZ
- NPI 1235654237
-
dba Banner Physical Therapy and Rehabilitation
- Physical Therapy Clinic/Center
- Peoria, AZ
- NPI 1285271684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1467026591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 W LONGHORN RD UNIT 2",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855414344",
"telephone_number": "801-602-7754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 E MAIN ST STE C",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855415488",
"telephone_number": "928-468-8907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "SPENCER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-13",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AZ",
"license": "LPT-31746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Payson, AZ
- Dallin Durfee, PHARM D
- David Milo Durfee, M.S., CCC-SLP
- Durstin W Hooperpllc (Alpine Family Dentistry)
- Eagle Springs Family Medicine, PLLC
- Diana Lynn Easton, D.O.
- El Rio Santa Cruz Neighborhood Health Center Inc (Elk Ridge Payson)
- Lisa Marie Evans, NCSP
- Lora Ewanko
- Family Towncar Service
- Raphael Filippi, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.