Specialized Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

18120 Issued in MA

Legal business name

SPECIALIZED PHYSICAL THERAPY, LLC

Practice address

161 Main St
Unit 3
North Reading, MA 01864-3101

Phone

(415) 205-0719

NPI assigned

Aug 15, 2012

Last updated

Aug 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Beth Wilusz Spencer, PT, DPT, OCS, MTCNPI 1215169115

Title

Manager

Phone

(415) 205-0719

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy B Spencer, DPT

  • Physical Medicine & Rehabilitation Physician
  • North Reading, MA
  • NPI 1215169115
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1568710903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 MAIN ST",
            "address_2": "UNIT 3",
            "city": "NORTH READING",
            "state": "MA",
            "postal_code": "018643101",
            "telephone_number": "415-205-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MAIN ST",
            "address_2": "UNIT 3",
            "city": "NORTH READING",
            "state": "MA",
            "postal_code": "018643101",
            "telephone_number": "415-205-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "BETH WILUSZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "415-205-0719",
        "authorized_official_credential": "PT, DPT, OCS, MTC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Courtney Sears
• Michele Shaffer, LICSW
• Mehran Shahsavari, M.D.
• Thomas M Sheehan, DC
• Katherine M Siggens, OT
• Amy B Spencer, DPT
• Stefanie Suzzanne Steeves, L.M.T
• Kathleen Stewart, OTR/L
• Sunbridge Healthcare LLC (Meadow View Center)
• Tara Nicole Surette, LCSW

• Physical Therapist in North Reading, MA
• Providers in North Reading, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.