Active NPI
Janine Audrey Spiezio, MA PT
- Physical Therapist
- Smithtown, NY
National Provider Identifier
1508912023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 010117-1
- Practice address
- 50 Route 25a
Smithtown, NY 11787-1348 - Phone
- (631) 862-3530
- NPI assigned
- Jan 26, 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 Therapist | 225100000X | 010117-1 | NY | Primary |
Addresses
Primary practice location
50 Route 25a
Smithtown, NY 11787-1348
Mailing address
299 2ND Ave
Saint James, NY 11780-2336
Phone (631) 862-9651
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010117-1 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508912023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 2ND AVE",
"city": "SAINT JAMES",
"state": "NY",
"postal_code": "117802336",
"telephone_number": "631-862-9651",
"fax_number": "631-343-3148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 ROUTE 25A",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117871348",
"telephone_number": "631-862-3530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIEZIO",
"first_name": "JANINE",
"middle_name": "AUDREY",
"credential": "MA PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "010117-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithtown, NY
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.