Individual provider Active NPI

Raven A Spratley, DPT

  • Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1508167917
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013157 Issued in OH
Practice address
151 W Galbraith Rd
Cincinnati, OH 45216-1015
Phone
(513) 510-7909
NPI assigned
Nov 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 013157 OH Primary
Physical Therapist 225100000X 19033 MA

Addresses

Primary practice location

151 W Galbraith Rd
Cincinnati, OH 45216-1015

Mailing address

1503 Lakeland Ave
Cincinnati, OH 45237-3116
Phone (513) 510-7909

Other practice location 1

19 Brinsley St
Dorchester, MA 02121-3607
Phone (513) 200-5077

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

LicenseStateTypeSpecialty
19033MAMDPharmacist
013157OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1508167917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 LAKELAND AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452373116",
            "telephone_number": "513-510-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452161015",
            "telephone_number": "513-510-7909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Brinsley St",
            "address_purpose": "LOCATION",
            "city": "Dorchester",
            "state": "MA",
            "postal_code": "021213607",
            "country_code": "US",
            "telephone_number": "513-200-5077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRATLEY",
        "first_name": "RAVEN",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "013157",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.