Stacy J Spurlin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA0000002871 Issued in TN

Practice address

569 Lakewood Village Rd
Spring City, TN 37381-3712

Phone

(423) 365-2232

NPI assigned

Oct 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558444166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 LAKEWOOD VILLAGE RD",
            "city": "SPRING CITY",
            "state": "TN",
            "postal_code": "373813712",
            "telephone_number": "423-365-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 LAKEWOOD VILLAGE RD",
            "city": "SPRING CITY",
            "state": "TN",
            "postal_code": "373813712",
            "telephone_number": "423-365-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURLIN",
        "first_name": "STACY",
        "middle_name": "J",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "PTA0000002871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROADMEDICARE",
            "identifier": "P00315004",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4115301",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Spencer, LPN
• Spring City Family Clinic PLLC
• Spring City Family Medicine PLLC (William Thurman Bates III TTEE)
• Spring City Pharmacy Inc (Spring City Pharmacy)
• Spring City Walk in Medical Center, LLC
• Charles Taylor, BCBA, LBA
• Vision Healthcare Solutions LLC (Grace Primary Care Clinic)
• John Yager
• Jonathan Seth Zimmerman, PHARMD

• Physical Therapy Assistant in Spring City, TN
• Providers in Spring City, TN by specialty
• Physical Therapy Assistant in Tennessee

• 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.

Verify at the official NPI Registry.