Active NPI
Spencer Blair
- Physical Therapist
- Sacramento, CA
National Provider Identifier
1639028517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 43439
- Practice address
- 5960 S Land Park Dr
Sacramento, CA 95822-3313 - Phone
- (707) 592-4902
- NPI assigned
- Jan 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 43439 | CA | Primary |
Addresses
Primary practice location
5960 S Land Park Dr
Sacramento, CA 95822-3313
Mailing address
5960 S Land Park Dr
Sacramento, CA 95822-3313
Phone (916) 245-8292
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43439 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1639028517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5960 S LAND PARK DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958223313",
"telephone_number": "916-245-8292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5960 S LAND PARK DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958223313",
"telephone_number": "707-592-4902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "SPENCER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-01-24",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "43439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.