Active NPI
Nicole L Spaulding, PT
- Physical Therapist
- Gilbert, AZ
National Provider Identifier
1568613750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8229
- Practice address
- 2680 S Val Vista Dr Ste 106
Gilbert, AZ 85295-1606 - Phone
- (480) 892-7986
- NPI assigned
- Oct 6, 2008
- Last updated
- Jul 15, 2014
- 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 | 8229 | AZ | Primary |
Addresses
Primary practice location
2680 S Val Vista Dr Ste 106
Gilbert, AZ 85295-1606
Mailing address
2680 S Val Vista Dr Ste 106
Gilbert, AZ 85295-1606
Phone (480) 892-7986
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 393627 | Medicaid | AZ |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vibrantcare Outpatient Rehabilitation West Inc | Past | Accepting new patients | |
| Vibrantcare Outpatient Rehabilitation West Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba VibrantCare Rehabilitation
- Physical Therapy Clinic/Center
- Phoenix, AZ
- NPI 1114921871
-
dba VibrantCare Outpatient Rehabilitation - Tucson East
- Physical Therapy Clinic/Center
- Tucson, AZ
- NPI 1699779223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1568613750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2680 S VAL VISTA DR STE 106",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852951606",
"telephone_number": "480-892-7986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2680 S VAL VISTA DR STE 106",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852951606",
"telephone_number": "480-892-7986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAULDING",
"first_name": "NICOLE",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-06",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "8229",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "393627",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.