Individual provider Active NPI

Michael Alexander Spaeth, PT, DPT

  • Physical Therapist
  • Rockwall, TX
National Provider Identifier
1790923613
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1186928 Issued in TX
Practice address
1301 Summer Lee Dr
Rockwall, TX 75032-5452
Phone
(972) 771-8111
NPI assigned
Jan 30, 2009
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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 1186928 TX Primary
Orthopedic Physical Therapist 2251X0800X 1186928 TX

Addresses

Primary practice location

1301 Summer Lee Dr
Rockwall, TX 75032-5452

Mailing address

1301 Summer Lee Dr
Rockwall, TX 75032-5452
Phone (972) 771-8111

Other practice location 1

115 Fm 2453 Ste D
Royse City, TX 75189-7037
Phone (972) 771-8111

Other practice location 2

325 Fm 548 Ste 100
Forney, TX 75126-6992
Phone (972) 771-8111

Other practice location 3

731 Woodbridge Pkwy Ste 100
Wylie, TX 75098-7165
Phone (972) 771-8111

Other practice location 4

200 N Virginia St
Terrell, TX 75160-2732
Phone (972) 771-8111

Other identifiers 1

IdentifierTypeStateIssuer
812T76OtherTXBLUE CROSS BLUE SHIELD OF TEXAS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090324000412 TX Practitioner - Physical Therapist in Private Practice 4789741430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1301 Summer Lee Dr
Rockwall, TX 75032-5452
Phone (972) 771-8111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1186928TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Specialists of Dallas, PA Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Orthopaedic Specialists of Dallas, PA Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Orthopedic Physical Therapy Specialists P C Physical Therapist Past Accepting new patients

Locations

325 FM 548
Ste 100
Forney, TX 75126
Phone (214) 771-4400

1301 Summer Lee Dr
Rockwall, TX 75032
Phone (214) 306-4116

825 W Yellowjacket Ln
Rockwall, TX 75087
Phone (972) 772-6166

115 FM 2453
Ste D
Royse City, TX 75189
Phone (214) 471-5750

231 S Collins Rd
Sunnyvale, TX 75182
Phone (972) 203-6240

200 N Virginia St
Terrell, TX 75160
Phone 97255174007500

731 Woodbridge Pkwy
Ste 100
Wylie, TX 75098

Organizations & group practices 3

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": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1790923613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SUMMER LEE DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325452",
            "telephone_number": "972-771-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SUMMER LEE DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325452",
            "telephone_number": "972-771-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Fm 2453 Ste D",
            "address_purpose": "LOCATION",
            "city": "Royse City",
            "state": "TX",
            "postal_code": "751897037",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Fm 548 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Forney",
            "state": "TX",
            "postal_code": "751266992",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "731 Woodbridge Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wylie",
            "state": "TX",
            "postal_code": "750987165",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N Virginia St",
            "address_purpose": "LOCATION",
            "city": "Terrell",
            "state": "TX",
            "postal_code": "751602732",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPAETH",
        "first_name": "MICHAEL",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1186928",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1186928",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "812T76",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.