Individual provider Active NPI

Heather Spadola, PT, DPT

  • Physical Therapist
  • Allentown, PA
National Provider Identifier
1821697442
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2895 Hamilton Blvd
Ste102
Allentown, PA 18104-6172
Phone
(610) 330-9740
Fax
(610) 432-4887
NPI assigned
Oct 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT028772 PA
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2895 Hamilton Blvd
Ste102
Allentown, PA 18104-6172

Mailing address

PO Box 45926
Baltimore, MD 21297-5926
Phone (610) 642-8837

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210305000105 PA Practitioner - Physical Therapist in Private Practice 9830505403 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT028772PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robbins Rehabilitation West, LLC Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients
MVM Health LLC PastSince Jun 1, 2025 Accepting new patients

Locations

225 Erdman St
Bangor, PA 18013
Phone (610) 432-9593

2045 Westgate Dr
Ste 303
Bethlehem, PA 18017

3535 High Point Blvd
Ste 300
Bethlehem, PA 18017

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1821697442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45926",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212975926",
            "telephone_number": "610-642-8837",
            "fax_number": "610-642-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 HAMILTON BLVD",
            "address_2": "STE102",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046172",
            "telephone_number": "610-330-9740",
            "fax_number": "610-432-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADOLA",
        "first_name": "HEATHER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-24",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "PT028772",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.