Individual provider Active NPI

Miranda Sponeman, DPT, PT

  • Physical Therapist
  • Westminster, CO
National Provider Identifier
1669063046
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12438 Issued in SC
Practice address
8670 Wolff CT Ste 115
Westminster, CO 80031-3692
Phone
(303) 650-1700
NPI assigned
Jan 29, 2021
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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 2305215453 VA
Physical Therapist 225100000X 12438 SC Primary

Addresses

Primary practice location

8670 Wolff CT Ste 115
Westminster, CO 80031-3692

Mailing address

363 Fillmore St
Denver, CO 80206-4321
Phone (618) 558-8492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250606001623 SC Practitioner - Physical Therapist in Private Practice 9335556976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

12 Boyce Ave
Greenville, SC 29601-3149
Phone (864) 554-6280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305215453VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Physical Therapist CurrentSince Jun 13, 2025 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Apr 16, 2025 Accepting new patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Apr 16, 2025 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Jun 13, 2025 Accepting new patients
Bayada Home Health Care, Inc. PastSince Jan 31, 2021 Accepting new patients

Locations

701 Simpson Rd
Anderson, SC 29621
Phone (864) 226-5505

101 Park Ct
Gaffney, SC 29341
Phone (843) 800-2754

1 Marcus Dr
Ste 102
Greenville, SC 29615

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1669063046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 FILLMORE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064321",
            "telephone_number": "618-558-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8670 WOLFF CT STE 115",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313692",
            "telephone_number": "303-650-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPONEMAN",
        "first_name": "MIRANDA",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215453",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.