Jordan Spennato, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P20114 Issued in NC

Practice address

3030 Randolph Rd Ste 200
Charlotte, NC 28211-1365

Phone

(704) 512-5000

NPI assigned

Nov 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jspennato1583723@direct.novanthealth.org

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.

• Collective Therapy Corp.

  • Speech-Language Pathologist
  • Charlotte, NC
  • NPI 1396380911

  Physical Therapist

  Medicare reassignment NPD
• Fight Back Performance and Recovery, LLC

  • Multi-Specialty Clinic/Center
  • Charlotte, NC
  • NPI 1851867394
  NPD

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1841892064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 DURANTA CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597755",
            "telephone_number": "512-517-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 RANDOLPH RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111365",
            "telephone_number": "704-512-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8045 Providence Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282778916",
            "country_code": "US",
            "telephone_number": "704-316-1222",
            "fax_number": "704-316-3412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 E Morehead St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282022610",
            "country_code": "US",
            "telephone_number": "704-355-0607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENNATO",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1338471",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanequa Sheree Spencer, LMFT
• Shawanda Lester Spencer, NP-C
• Susan Elizabeth Spencer, PHARMD
• Temeka K. Spencer, RN
• Madison Spencley, BCBA
• Marianna Spero, LAT, ATC
• Stephen Charles Spiegler, DDS
• Pati Ann Spielmann, RD, LDN, CDE
• Lynne M Spies, SLP
• Spiirit Home Care Agency

• Physical Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.