Active NPI
Sara Spangler, LMT
- Specialist
- Medford, OR
National Provider Identifier
1891189023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 20928
- Practice address
- 1910 E Barnett Rd
Ste. 103
Medford, OR 97504-8672 - Phone
- (541) 245-9544
- NPI assigned
- Mar 25, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 20928 | OR | Primary |
Addresses
Primary practice location
1910 E Barnett Rd
Ste. 103
Medford, OR 97504-8672
Mailing address
1910 E Barnett Rd
Ste. 103
Medford, OR 97504-8672
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20928 | OR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Custom Chiropractic & Wellness Clinic LLC | Past | Accepting new patients | |
| Advanced Physical Therapy and Orthopedic Rehabilitation PC | Past | Accepting new patients |
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 Therapy Assistant
- Medford, OR
- NPI 1073652822
-
- Chiropractor
- Medford, OR
- NPI 1134565302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427241600000",
"number": "1891189023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 E BARNETT RD",
"address_2": "STE. 103",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 E BARNETT RD",
"address_2": "STE. 103",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048672",
"telephone_number": "541-245-9544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPANGLER",
"first_name": "SARA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-25",
"last_updated": "2015-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "20928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
- Southern Oregon Wellness Clinic, LLC (Southern Oregon Medical Clinic)
- Abigail Southgate, LMT
- Heather Dawn Southwick, OTR/L, CAS, CNS-AP
- Sadie Teagan Angelique Souza, LPC
- Arlene Lorraine Sowell, RPH
- Susan K Sparling, MD
- Justin Matthew Spaulding, D.O.
- Raquel F Spaulding, PA-C
- Nancy H Spector, WHCNP
- Spectrum Orthotics & Prosthetics Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.