Kristin Michelle Spann, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

029702 Issued in NY

Practice address

28 Wildwood LN
Smithtown, NY 11787-3487

Phone

(631) 265-0670

NPI assigned

Oct 1, 2007

Last updated

Nov 6, 2015By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1619164076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WILDWOOD LN",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873487",
            "telephone_number": "631-265-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WILDWOOD LN",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873487",
            "telephone_number": "631-265-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANN",
        "first_name": "KRISTIN",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sound Physical Therapy & Wellness PC
• Southwest Suffolk Medical, P.C.
• Southwest Suffolk, P.C (Siena Proactive Internal Medicine)
• Karen M. Souza
• Anthony Spadaro, M.D.
• Christine Spence, PSYD
• Laura Spencer
• Larissa Anne Spero, LMT
• Alan L Spielberg, M.D.
• Janine Audrey Spiezio, MA PT

• Physical Therapist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.