Active NPI
Andrea S Spencer, PT
- Physical Therapist
- Troy, OH
National Provider Identifier
1467561522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7614
- Practice address
- 2784 S County Road 25a
Troy, OH 45373-9312 - Phone
- (937) 332-9084
- Fax
- (937) 332-9130
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7614 | OH | Primary |
Addresses
Primary practice location
2784 S County Road 25a
Troy, OH 45373-9312
Mailing address
2784 S County Road 25a
Troy, OH 45373-9312
Phone (937) 332-9084
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2631745 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7614 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Growing Potentials, LLC | Physical Therapist | 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": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467561522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2784 S COUNTY ROAD 25A",
"city": "TROY",
"state": "OH",
"postal_code": "453739312",
"telephone_number": "937-332-9084",
"fax_number": "937-332-9130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2784 S COUNTY ROAD 25A",
"city": "TROY",
"state": "OH",
"postal_code": "453739312",
"telephone_number": "937-332-9084",
"fax_number": "937-332-9130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "ANDREA",
"middle_name": "S",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "7614",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2631745",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Troy, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.