Active NPI
Michael Spence, DPT
- Physical Therapist
- Solana Beach, CA
National Provider Identifier
1639864804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 303705
- Practice address
- 380 Stevens Ave Ste 314
Solana Beach, CA 92075-2069 - Phone
- (858) 755-5200
- NPI assigned
- Apr 5, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 303705 | CA | Primary |
Addresses
Primary practice location
380 Stevens Ave Ste 314
Solana Beach, CA 92075-2069
Mailing address
380 Stevens Ave Ste 314
Solana Beach, CA 92075-2069
Phone (858) 755-5200
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1639864804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 STEVENS AVE STE 314",
"city": "SOLANA BEACH",
"state": "CA",
"postal_code": "920752069",
"telephone_number": "858-755-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 STEVENS AVE STE 314",
"city": "SOLANA BEACH",
"state": "CA",
"postal_code": "920752069",
"telephone_number": "858-755-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCE",
"first_name": "MICHAEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-05",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "303705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Solana Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.