Active NPI
Heather Spadola, PT, DPT
- Physical Therapist
- Allentown, PA
National Provider Identifier
1821697442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT028772 | PA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robbins Rehabilitation West, LLC | Physical Therapist | Current | Accepting new patients |
| MVM Health LLC | Past | 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.
-
- Physical Therapist
- Allentown, PA
- NPI 1972029908
PA, Physical Therapist
-
- Pain Medicine (Anesthesiology) Physician
- East Stroudsburg, PA
- NPI 1033863410
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.