NPIMap

Organization Active NPI

Spectrum Therapy,LLC

  • Physical Therapist
  • Columbus, OH
National Provider Identifier
1508068164
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5072 Issued in OH
Legal business name
SPECTRUM THERAPY,LLC
Practice address
5020 Reed Rd
Suite C
Columbus, OH 43220-2581
Phone
(614) 388-5877
Fax
(614) 388-5877
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Ms. Charise Marie Vacca, P.T.NPI 1396947057
Title
President, Spectrum Therapy,LLC
Phone
(614) 388-5877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5072 OH Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5840 OH
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 9081 OH
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X 415 OH

Addresses

Primary practice location

5020 Reed Rd
Suite C
Columbus, OH 43220-2581

Mailing address

52 Westerville SQ
P.M.B. # 201
Westerville, OH 43081-2919
Phone (614) 388-5877

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1508068164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 WESTERVILLE SQ",
            "address_2": "P.M.B. # 201",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812919",
            "telephone_number": "614-388-5877",
            "fax_number": "614-388-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 REED RD",
            "address_2": "SUITE C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202581",
            "telephone_number": "614-388-5877",
            "fax_number": "614-388-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM THERAPY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "VACCA",
        "authorized_official_first_name": "CHARISE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT, SPECTRUM THERAPY,LLC",
        "authorized_official_telephone_number": "614-388-5877",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "5072",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "5840",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "9081",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.