Spencer Allen Ray, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P22769 Issued in NC

Practice address

2959 Town Center Dr
Fayetteville, NC 28306-3697

Phone

(910) 423-5550

Fax

(910) 423-5552

NPI assigned

Nov 13, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Physical Therapy Solutions LLCGroup PAC ID 8820068133, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Advanced Physical Therapy Solutions LLC

  • Physical Therapist
  • Fayetteville, NC
  • NPI 1467405019

  NC, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Fayetteville, NC
  • NPI 1356201180

  NC, Physical Therapist

  Medicare reassignment NPD
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761
  NPD

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1871367540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 EXECUTIVE PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055390",
            "telephone_number": "910-423-5550",
            "fax_number": "910-423-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 TOWN CENTER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283063697",
            "telephone_number": "910-423-5550",
            "fax_number": "910-423-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "SPENCER",
        "middle_name": "ALLEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Louise Ray, PTA
• John M Ray Jr., M.D.
• Kilynda Vernette Ray, PH.D.
• Mikayla Ray
• Naeisha Lucille Ray, RBT
• Judy Jones Rayburn
• Joyce Raymond
• Briana Raynor, LPN
• Farwa Raza, MD
• Syed Mohammad Moosi Raza

• All providers in Fayetteville, NC
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.