Jennifer Self Spencer, PT, DPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH6224 Issued in AL

Practice address

3075 John Hawkins Pkwy Ste J
Hoover, AL 35244-7003

Phone

(205) 202-0874

Fax

(205) 293-3895

NPI assigned

Jul 2, 2008

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

Other names 1

• Jennifer Loren Self Former name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Medical University of South Carolina College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Magic City Physical TherapyGroup PAC ID 1759792120, 4 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.

• Magic City Physical Therapy

  • Physical Therapist
  • Birmingham, AL
  • NPI 1912520115
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1982867743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 WILLOW LEAF CIR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444131",
            "telephone_number": "205-602-1848",
            "fax_number": "205-293-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 JOHN HAWKINS PKWY STE J",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352447003",
            "telephone_number": "205-202-0874",
            "fax_number": "205-293-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "JENNIFER",
        "middle_name": "SELF",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AL",
            "license": "6224",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH6224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SELF",
            "middle_name": "LOREN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Spaulding Enterprises LLC
• Delaney H Spaulding, DMD
• Specialized Mobility LLC.
• Nicole Speegle, NP
• Simone Spellen, PHARM D
• Emily Springer
• Anisa Ssengoba-Ubogu, MD
• Geraldine Stallworth, PT
• Michael S Stallworth, DPT
• Andrew D Stanford, DPT

• Physical Therapist in Hoover, AL
• Providers in Hoover, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.