Individual provider Active NPI

Spencer Beatty, DPT

  • Physical Therapist
  • Auburn, WA
National Provider Identifier
1669166583
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
720 12TH St SE
Auburn, WA 98002-6708
Phone
(253) 735-3606
Fax
(253) 351-9807
NPI assigned
Jun 5, 2023
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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 119461 IA
Physical Therapist 225100000X WA Primary

Addresses

Primary practice location

720 12TH St SE
Auburn, WA 98002-6708

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

852 Commerce Ave
Longview, WA 98632-2406
Phone (360) 967-7466

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231005001841 WA Practitioner - Physical Therapist in Private Practice 9638524010 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
119461IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Rehabilitation PLLC CurrentSince Sep 12, 2023 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist Current Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Feb 6, 2024 Accepting new patients
Cascade Rehabilitation Associates, PLLC Physical Therapist CurrentSince Sep 12, 2023 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Aug 26, 2024 Accepting new patients
Summit Rehabilitation PLLC Physical Therapist Current Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Feb 6, 2024 Accepting new patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Sep 12, 2023 Accepting new patients
Cascade Rehabilitation Associates, PLLC Physical Therapist CurrentSince Sep 12, 2023 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Aug 26, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

3710 168th St NE
Ste A102
Arlington, WA 98223
Phone (360) 226-5151

720 12th St SE
Auburn, WA 98002
Phone (253) 735-3606

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

10511 19th Ave SE
Ste B
Everett, WA 98208
Phone (425) 357-8885

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

9514 4th St NE
Unit 101
Lake Stevens, WA 98258
Phone (425) 397-2327

3719 88th St NE
Ste A
Marysville, WA 98270
Phone (360) 659-9621

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

201 W North River Dr
Ste 510
Spokane, WA 99201
Phone (509) 323-0066

Organizations & group practices 10

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": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1669166583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 12TH ST SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980026708",
            "telephone_number": "253-735-3606",
            "fax_number": "253-351-9807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "852 Commerce Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322406",
            "country_code": "US",
            "telephone_number": "360-967-7466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "SPENCER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-05",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "119461",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.