Active NPI
Samantha Stone Spencer, PT, DPT
- Physical Therapist
- Draper, UT
National Provider Identifier
1811489198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17944
- Practice address
- 65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096 - Phone
- (853) 308-8034
- NPI assigned
- Jun 3, 2018
- 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 | 17944 | NC | Primary |
Addresses
Primary practice location
65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096
Mailing address
65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096
Phone (853) 308-8034
Other practice location 1
534 Biltmore Ave
Asheville, NC 28801-4610
Phone (828) 213-0850
Other practice location 2
17 Westwood Dr
Candler, NC 28715-9275
Phone (828) 808-3566
Other practice location 3
100 Ridgefield Ct
Asheville, NC 28806-2270
Phone (828) 670-8403
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 |
|---|---|---|---|
| 17944 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1811489198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 E WADSWORTH PARK DR STE 230",
"city": "DRAPER",
"state": "UT",
"postal_code": "840208096",
"telephone_number": "853-308-8034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 E WADSWORTH PARK DR STE 230",
"city": "DRAPER",
"state": "UT",
"postal_code": "840208096",
"telephone_number": "853-308-8034"
}
],
"practiceLocations": [
{
"address_1": "534 Biltmore Ave",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288014610",
"country_code": "US",
"telephone_number": "828-213-0850",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17 Westwood Dr",
"address_purpose": "LOCATION",
"city": "Candler",
"state": "NC",
"postal_code": "287159275",
"country_code": "US",
"telephone_number": "828-808-3566",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Ridgefield Ct",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288062270",
"country_code": "US",
"telephone_number": "828-670-8403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPENCER",
"first_name": "SAMANTHA",
"middle_name": "STONE",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-03",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "17944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.