Active NPI
Judith N Spayde, PTA
- Physical Therapy Assistant
- Tampa, FL
National Provider Identifier
1477672111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA 19536
- Practice address
- 3681 W Waters Ave
Tampa, FL 33614-2783 - Phone
- (813) 990-8880
- Fax
- (813) 990-8848
- NPI assigned
- Mar 27, 2007
- 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 Therapy Assistant | 225200000X | PTA 19536 | FL | Primary |
Addresses
Primary practice location
3681 W Waters Ave
Tampa, FL 33614-2783
Mailing address
18218 Brookpark Dr
Tampa, FL 33647-3187
Phone (813) 994-9976
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 |
|---|---|---|---|
| PTA 19536 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477672111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18218 BROOKPARK DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336473187",
"telephone_number": "813-994-9976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3681 W WATERS AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336142783",
"telephone_number": "813-990-8880",
"fax_number": "813-990-8848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAYDE",
"first_name": "JUDITH",
"middle_name": "N",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA 19536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
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.