Active NPI
Jennifer Ruth Spence, MPT
- Physical Therapist
- Marco Island, FL
National Provider Identifier
1760692420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT21050
- Practice address
- 40 S Heathwood Dr
Marco Island, FL 34145-5026 - Phone
- (239) 393-4079
- Fax
- (239) 642-8484
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT21050 | FL | Primary |
Addresses
Primary practice location
40 S Heathwood Dr
Marco Island, FL 34145-5026
Mailing address
PO Box 632
Everglades City, FL 34139-0632
Phone (239) 877-3315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT21050 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760692420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 632",
"city": "EVERGLADES CITY",
"state": "FL",
"postal_code": "341390632",
"telephone_number": "239-877-3315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 S HEATHWOOD DR",
"city": "MARCO ISLAND",
"state": "FL",
"postal_code": "341455026",
"telephone_number": "239-393-4079",
"fax_number": "239-642-8484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCE",
"first_name": "JENNIFER",
"middle_name": "RUTH",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT21050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marco Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.