Vernon G Spidle, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT32608 Issued in CA

Practice address

525 Melissa Ave
Ste B
Barstow, CA 92311-3002

Phone

(760) 256-1888

Fax

(760) 256-2893

NPI assigned

Jul 10, 2006

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tracy L Malan RPT ApcGroup PAC ID 0446233092, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Tracy L Malan RPT Apc

  • Physical Therapist
  • Barstow, CA
  • NPI 1528083227
  Medicare reassignment Care Compare group NPD
• Wimbledon Park Physical Therapy

  • Physical Therapist
  • Victorville, CA
  • NPI 1366484131
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962436808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 MELISSA AVE",
            "address_2": "STE B",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113002",
            "telephone_number": "760-256-1888",
            "fax_number": "760-256-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 MELISSA AVE",
            "address_2": "STE B",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113002",
            "telephone_number": "760-256-1888",
            "fax_number": "760-256-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIDLE",
        "first_name": "VERNON",
        "middle_name": "G",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT32608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren E Soles
• Sonoma Trail Medical Services, a Med Corp
• Allison Spears
• Specialty Infusions Nursing Care
• Spectrum Optimal Care, LLC
• Tyler Steele
• Sha'Tara L Stevenson
• Delaney Stewart
• McKenzzee Stuehrenberg
• Stephanie Stutzriem, BCBA

• Physical Therapist in Barstow, CA
• Providers in Barstow, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.