Active NPI
Andrew Spicer
- Physical Therapist
- Sitka, AK
National Provider Identifier
1821652231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 144548
- Practice address
- 700 Katlian St Ste E
Sitka, AK 99835-7359 - Phone
- (907) 747-4559
- NPI assigned
- May 1, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 63171 | OR | |
| Physical Therapist | 225100000X | 144548 | AK | Primary |
| Physical Therapist | 225100000X | 23218 | MA |
Addresses
Primary practice location
700 Katlian St Ste E
Sitka, AK 99835-7359
Mailing address
615 SW Moss St
Portland, OR 97219-4477
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 |
|---|---|---|---|
| 144548 | AK | MD | Physical Therapist |
| 23218 | MA | MD | Physical Therapist |
| 63171 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1821652231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 SW MOSS ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972194477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 KATLIAN ST STE E",
"city": "SITKA",
"state": "AK",
"postal_code": "998357359",
"telephone_number": "907-747-4559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPICER",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-01",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "63171",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "144548",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "23218",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sitka, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.