Individual provider Active NPI

Ann Louise Spina, PT

  • Physical Therapist
  • Utica, NY
National Provider Identifier
1861560591
Registry record updated Jan 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006022-1 Issued in NY
Practice address
106 Memorial Pkwy
Utica, NY 13501-4818
Phone
(315) 368-6018
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 006022-1 NY Primary

Addresses

Primary practice location

106 Memorial Pkwy
Utica, NY 13501-4818

Mailing address

36 Christopher Cir
New Hartford, NY 13413-3005
Phone (315) 733-4422

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

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358640000000",
    "number": "1861560591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CHRISTOPHER CIR",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134133005",
            "telephone_number": "315-733-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MEMORIAL PKWY",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135014818",
            "telephone_number": "315-368-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINA",
        "first_name": "ANN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2013-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "006022-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.