Sara Jayne Spencer
Individual provider Active NPI Physical Therapy Assistant · Wray, CO
NPI 1831433176 · NPPES record last updated Nov 26, 2012
Key facts
- NPI
- 1831433176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 0012894 (CO)
- Practice address
- 360 Canyon Ridge Dr
Wray, CO 80758-8947 - Phone
- (970) 332-4856
- NPI assigned
- Nov 26, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0012894 | CO | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 0012894 | CO | Yes |
Addresses
Primary practice location
360 Canyon Ridge Dr
Wray, CO 80758-8947
Mailing address
31114 County Road Z
Wray, CO 80758-9710
Other providers in Wray, CO
- Bonetta Schulte
- Lori Lynne Smith
- Nathan John Smith
- Rebecca Jo Smith
- Victoria Sparkes
- Janet Turner
- Monte C. Uyemura
- Caroline Hinds Vick
- Michael Patrick Welch
- Joyce Ann Williams
All providers in Wray, CO · Physical Therapy Assistant in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.