Ivy Spencer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH2796 Issued in AL

Practice address

3125 Independence Dr Ste 300B
Birmingham, AL 35209-4168

Phone

(205) 879-7501

Fax

(205) 263-0994

NPI assigned

Feb 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ivy Gilbert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1700244910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 INDEPENDENCE DR STE 300B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094168",
            "telephone_number": "205-879-7501",
            "fax_number": "205-263-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 INDEPENDENCE DR STE 300B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094168",
            "telephone_number": "205-879-7501",
            "fax_number": "205-263-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "IVY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH2796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVY",
            "last_name": "GILBERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gayl Julie Spence, FNP-BC
• Aparajita Chakrabarty Spencer, MD
• Chad M Spencer, MD
• Emily Anne Spencer, MCD, CF-SLP
• Grace Anne Spencer, CRNP
• J Terrell Spencer, M.D.
• Jarqundrala Lashun Spencer
• Kathleen Spencer, CRNP
• La-Shonda Spencer
• Roshunda Spencer, LMSW

• Physical Therapist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.