Individual provider Active NPI

Spencer Turnbull

  • Physical Therapist
  • Raymore, MO
National Provider Identifier
1548945595
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2023023696 Issued in MO
Practice address
820 W Foxwood Dr
Raymore, MO 64083-9195
Phone
(816) 318-8109
NPI assigned
Jun 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2023023696 MO Primary

Addresses

Primary practice location

820 W Foxwood Dr
Raymore, MO 64083-9195

Mailing address

701 Twin Lakes Dr
Pittsburg, KS 66762-6137
Phone (620) 704-3613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX, CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240302000193 OK Practitioner - Physical Therapist in Private Practice 7214372077 Reassigns benefits to 1 organization
I20241002000030 TX Practitioner - Physical Therapist in Private Practice 7214372077 Reassigns benefits to 1 organization
I20250106001609 CO Practitioner - Physical Therapist in Private Practice 7214372077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado in Motion LLCGroup PAC ID 9931515483, 41 clinicians
PTMS 3.0 LLCGroup PAC ID 2365768231, 115 clinicians

Practice addresses (Care Compare)

1555 Main St
Windsor, CO 80550-5998
Phone (970) 221-1201

815 NW 12TH St
Oklahoma City, OK 73106-6802
Phone (405) 231-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023023696MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PTMS 3.0, LLC Physical Therapist CurrentSince Jan 24, 2024 Accepting new patients
PT Care Specialists LLC Physical Therapist CurrentSince Aug 18, 2024 Accepting new patients
Colorado in Motion LLC Physical Therapist CurrentSince Oct 14, 2024 Accepting new patients
PTMS 3.0, LLC Physical Therapist Current Accepting new patients
Colorado Physical Therapy Specialists PLLC Physical Therapist Past Accepting new patients
Physical Therapy Care PC PastSince Oct 1, 2005 Accepting new patients

Locations

115 E Harmony Rd
Ste 160
Fort Collins, CO 80525
Phone (304) 917-3671

2021 Battlecreek Dr
Unit A
Fort Collins, CO 80528
Phone (720) 770-0259

1901 56th Ave
Ste 100
Greeley, CO 80634
Phone (970) 451-5776

1555 Main St
#45
Windsor, CO 80550
Phone (970) 674-9675

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

440 Merchant Dr
Norman, OK 73069
Phone (405) 579-1600

815 NW 12th St
Oklahoma City, OK 73106
Phone (405) 230-9575

26440 FM 1093 Rd
Ste A180
Richmond, TX 77406
Phone (281) 344-8900

1500 Jackson St
Ste 400
Richmond, TX 77469
Phone (281) 344-8900

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1548945595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TWIN LAKES DR",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626137",
            "telephone_number": "620-704-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W FOXWOOD DR",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640839195",
            "telephone_number": "816-318-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNBULL",
        "first_name": "SPENCER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2023023696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymore, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.