Individual provider Active NPI

Patrick Paul Spicer, MD

  • Physical Medicine & Rehabilitation Physician
  • Frisco, TX
National Provider Identifier
1548670177
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
R6682 Issued in TX
Practice address
2990 Legacy Dr
Frisco, TX 75034-6066
Phone
(469) 888-5156
Fax
(717) 547-8607
NPI assigned
May 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP20054894 TX
Physical Medicine & Rehabilitation Physician 208100000X R6682 TX Primary

Addresses

Primary practice location

2990 Legacy Dr
Frisco, TX 75034-6066

Mailing address

2990 Legacy Dr
Frisco, TX 75034-6066
Phone (469) 888-5156

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pspicer875445@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180711002071 TX Practitioner - Physical Medicine and Rehabilitation 2860748571 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R6682TXMDPhysical Medicine & Rehabilitation Physician
BP20054894TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Physical Medicine & Rehabilitation Current Accepting new patients
Healthtexas Provider Network CurrentSince Nov 8, 2021 Accepting new patients
Healthtexas Provider Network CurrentSince Nov 8, 2021 Accepting new patients
Dell Children'S Medical Group CurrentSince Jul 1, 2018 Accepting new patients
Seton Family of Doctors CurrentSince Jul 1, 2018 Accepting new patients
Seton Family of Doctors Physical Medicine & Rehabilitation CurrentSince Jul 1, 2018 Accepting new patients
Dell Children'S Medical Group CurrentSince Jul 1, 2018 Accepting new patients

Locations

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

5339 N Interstate 35
Ste 100
Austin, TX 78723
Phone (512) 865-4421

3724 Executive Center Dr
Ste G10
Austin, TX 78731
Phone (512) 324-9270

1600 W 38th St
Ste 312
Austin, TX 78731
Phone (512) 324-7131

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

4616 W Howard Ln
Austin, TX 78728
Phone (224) 558-8613

1500 Red River St
Austin, TX 78701
Phone (512) 324-0150

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

2990 Legacy Dr
Frisco, TX 75034
Phone (469) 888-5100

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: pspicer875445@direct.sw.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1548670177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 LEGACY DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346066",
            "telephone_number": "469-888-5156",
            "fax_number": "717-547-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 LEGACY DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346066",
            "telephone_number": "469-888-5156",
            "fax_number": "717-547-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICER",
        "first_name": "PATRICK",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP20054894",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "R6682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pspicer875445@direct.sw.org",
            "affiliation": "N",
            "address_1": "2990 Legacy Dr",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750346066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.