Active NPI
Ronald Lee Spicer Jr., PT
- Physical Therapist
- Columbia, MD
National Provider Identifier
1508906264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21084
- Practice address
- 8885 Centre Park Dr
Columbia, MD 21045 - Phone
- (410) 730-1275
- Fax
- (410) 740-2497
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- 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 | 21084 | MD | Primary |
Addresses
Primary practice location
8885 Centre Park Dr
Columbia, MD 21045
Mailing address
6100 Edmondson Ave
Catonsville, MD 21228
Phone (410) 744-7676
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 |
|---|---|---|---|
| 21084 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508906264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 EDMONDSON AVE",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "21228",
"telephone_number": "410-744-7676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8885 CENTRE PARK DR",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "21045",
"telephone_number": "410-730-1275",
"fax_number": "410-740-2497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPICER",
"first_name": "RONALD",
"middle_name": "LEE",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
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.