Jeffrey Allen Spidal, PT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012805 Issued in NY

Practice address

222 Westchester Ave Ste G-2
West Harrison, NY 10604-2906

Phone

(914) 681-1116

Fax

(914) 681-2967

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Bone & Joint Associates LLP

  • Specialist
  • White Plains, NY
  • NPI 1740379353
  NPD (past)
• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)
• White Plains Hospital Medical Center

  • General Acute Care Hospital
  • White Plains, NY
  • NPI 1447255153
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1730129933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 KELLY RD",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122506",
            "telephone_number": "845-531-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WESTCHESTER AVE STE G-2",
            "city": "WEST HARRISON",
            "state": "NY",
            "postal_code": "106042906",
            "telephone_number": "914-681-1116",
            "fax_number": "914-681-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIDAL",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "PT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NY",
            "license": "012805",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "9143914973",
            "affiliation": "N",
            "endpointDescription": "cell",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "222 Westchester Ave Ste G-2",
            "city": "West Harrison",
            "state": "NY",
            "country_code": "US",
            "postal_code": "106042906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adeepa D. Singh, M.D.
• Pallavi Singh, FNP-C
• Cardinale Smith, MD, PHD
• Lauren Solomont, WHNP
• Christy Lynn Spalink, ACNP-BC, ACHPN
• Brittany Maria Stabile, MSW
• Kristen Stair, P.D., M.S.ED.
• Julia Starace, OT
• Jennifer Ann Sylvia, DMD
• Carolyn Szala, LCAT

• All providers in West Harrison, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.