Jane Lorei Spickelmier, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT15265 Issued in CA

Practice address

6180 Brockton Ave
Suite 102
Riverside, CA 92506-2228

Phone

(951) 684-6500

NPI assigned

Aug 8, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Up & Movin' Pediatric Physical Therapy PC

  • Early Intervention Provider Agency
  • Riverside, CA
  • NPI 1457659583
  Authorized official Same address or phone
• Up and Movin Therapy

  • Clinic/Center
  • Riverside, CA
  • NPI 1992047773
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378512000000",
    "number": "1487969051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6180 BROCKTON AVE",
            "address_2": "SUITE 102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062228",
            "telephone_number": "951-684-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6180 BROCKTON AVE",
            "address_2": "SUITE 102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062228",
            "telephone_number": "951-684-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICKELMIER",
        "first_name": "JANE",
        "middle_name": "LOREI",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-08",
        "last_updated": "2013-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT15265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Letitia Spencer, MD
• Serena Spencer
• T'Erah Spencer, NONE
• Bruce John Spera, O.D.
• Timothy Scott Spicer, PSY.D.
• Corey Lynn Spight
• Cassandra Spinks-Gilbert, LPCC
• Kyle Hunter Sponseller
• Spore Society LLC
• Shartara Spotville

• Physical Medicine & Rehabilitation Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.