Jeffrey Lanier Spell, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5178 Issued in SC

Practice address

227 S Pendleton St
Ste B
Easley, SC 29640-3047

Phone

(864) 855-7030

Fax

(864) 855-7019

NPI assigned

Aug 1, 2006

Last updated

Mar 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Atlantic States/Columbia Chiropractic Institute, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dosher Physical Therapy Associates IncGroup PAC ID 9931188836, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dosher Physical Therapy Associates Inc

  • Physical Therapist
  • Easley, SC
  • NPI 1639163934
  Medicare reassignment Care Compare group NPD
• Rehabilitation Services of Coffee, Inc

  • Physical Therapist
  • Douglas, GA
  • NPI 1255440517
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1629085980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 S PENDLETON ST",
            "address_2": "STE B",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403047",
            "telephone_number": "864-855-7030",
            "fax_number": "864-855-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 S PENDLETON ST",
            "address_2": "STE B",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403047",
            "telephone_number": "864-855-7030",
            "fax_number": "864-855-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELL",
        "first_name": "JEFFREY",
        "middle_name": "LANIER",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT 007458",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "726617849A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Carolina CVS Pharmacy LLC (CVS Pharmacy #04286)
• South Carolina Inpatient Medicine Associates, LLC
• South Carolina Podiatric Physicians and Surgeons Group,LLC (Piedmont Podiatry Assoc.)
• Southern Oaks Family Dentistry, PA
• Speakez Speech Therapy, LLC
• Cynthia H Squires, M.D.
• Herbert R Squires, M.D.
• Christina Lauren St Clair, APRN
• St Francis Physician Services Inc (Family Practice Associates of Easley)
• St Francis Physician Services Inc (Powdersville Primary Care)

• Physical Therapist in Easley, SC
• Providers in Easley, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.