Individual provider Active NPI

Spencer Andrew Cole, PT, DPT, OCS, SCS

  • Physical Therapist
  • Durham, NC
National Provider Identifier
1619350097
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P15612 Issued in NC
Practice address
1019 Broad St
Durham, NC 27705-4143
Phone
(864) 454-0952
NPI assigned
Jul 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7787 SC
Physical Therapist 225100000X P15612 NC Primary

Addresses

Primary practice location

1019 Broad St
Durham, NC 27705-4143

Mailing address

1019 Broad St
Durham, NC 27705-4143
Phone (919) 797-9588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150818004778 SC Practitioner - Physical Therapist in Private Practice 5698080729 Reassigns benefits to 1 organization
I20231207000280 NC Practitioner - Physical Therapist in Private Practice 5698080729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Duke University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bull City Physical TherapyGroup PAC ID 8022438563, 10 clinicians

Practice addresses (Care Compare)

1019 Broad St
Durham, NC 27705-4143
Phone (919) 797-9588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7787SCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Aug 31, 2015 Accepting new patients
Acupuncture and Chiropractic Care Center Inc. CurrentSince Nov 7, 2023 Accepting new patients
Bull City Physical Therapy Physical Therapist CurrentSince Nov 7, 2023 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Aug 31, 2015 Accepting new patients
Prisma Health University Medical Group Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

1019 Broad St
Durham, NC 27705
Phone (919) 286-0009

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

103 N Main St
Ste 300
Greenville, SC 29601

200 Patewood Dr
Ste C250
Greenville, SC 29615
Phone (864) 454-0952

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1619350097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054143",
            "telephone_number": "919-797-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054143",
            "telephone_number": "864-454-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "SPENCER",
        "middle_name": "ANDREW",
        "credential": "PT, DPT, OCS, SCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-03",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7787",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P15612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.