Individual provider Active NPI

Ashley Spatafora, CRNP

  • Physical Medicine & Rehabilitation Physician
  • Harrisburg, PA
National Provider Identifier
1689072910
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
SP029214 Issued in PA
Practice address
253 N Hershey Rd
Harrisburg, PA 17112-9752
Phone
(717) 559-3111
Fax
(844) 805-7697
NPI assigned
Dec 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X SP029214 PA Primary

Addresses

Primary practice location

253 N Hershey Rd
Harrisburg, PA 17112-9752

Mailing address

253 N Hershey Rd
Harrisburg, PA 17112-9752
Phone (717) 559-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229003382 PA Practitioner - Nurse Practitioner 5890139109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Rehab LLCGroup PAC ID 6709176795, 5 clinicians

Practice addresses (Care Compare)

253 N Hershey Rd
Harrisburg, PA 17112-9752
Phone (717) 559-3111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Rehab LLC Physical Medicine & Rehabilitation CurrentSince Jan 16, 2024 Accepting new patients

Locations

253 N Hershey Rd
Harrisburg, PA 17112
Phone (717) 559-3111

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1689072910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 N HERSHEY RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171129752",
            "telephone_number": "717-559-3111",
            "fax_number": "844-805-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 N HERSHEY RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171129752",
            "telephone_number": "717-559-3111",
            "fax_number": "844-805-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPATAFORA",
        "first_name": "ASHLEY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-19",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "SP029214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.