Active NPI
Spencer G. Combs, PT, DPT
- Physical Therapist
- Bradenton, FL
National Provider Identifier
1568861870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT33466
- Practice address
- 8000 Sr 64 E
Bradenton, FL 34212 - Phone
- (941) 792-1404
- Fax
- (941) 795-1717
- NPI assigned
- Aug 22, 2014
- Last updated
- May 26, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305208753 | VA | |
| Physical Therapist | 225100000X | PT33466 | FL | Primary |
Addresses
Primary practice location
8000 Sr 64 E
Bradenton, FL 34212
Mailing address
8000 Sr 64 E
Bradenton, FL 34212
Phone (941) 792-1404
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01419576 | Other | VA | MEDICARE RR PTAN |
| 1568861870 | Other | VA | MEDICAID QMB PROVIDER ID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT33466 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Orthopedics & Sports Medicine of Southwest FL, PA | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
Organizations & group practices 1
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.
-
- Specialist
- Bradenton, FL
- NPI 1811134794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1568861870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8000 SR 64 E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "34212",
"telephone_number": "941-792-1404",
"fax_number": "941-795-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 SR 64 E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "34212",
"telephone_number": "941-792-1404",
"fax_number": "941-795-1717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMBS",
"first_name": "SPENCER",
"middle_name": "G.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-22",
"last_updated": "2022-05-26",
"certification_date": "2022-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305208753",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT33466",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR PTAN",
"identifier": "P01419576",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID QMB PROVIDER ID",
"identifier": "1568861870",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
- Gloriana Josette Colon-Gandia, PHARMD
- Malieri Colon-Rivera, MD
- Marissa Colonna
- Kelly Colwell, LAT, ATC
- Jessica Combs, B.A.
- Comfortable Care Dental Health Professionals (Lifetime Dentistry of Bradenton)
- Comfortable Care Dental Health Professionals, P.a. (Dental Care at Ward Lake)
- Comfortable Care Dental Health Professionals, P.a.
- Comfortable Care Dental Health Professionals, P.a.
- Comfortable Care Dental Health Professionals, P.a. (Dental Care at Lakewood Walk)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.