Spencer Thomas Cushman
NPI 1093490203ActiveIndividual· Physical Therapist· Vail, AZ
Physical Therapist with Empower Physical Therapy Tx LLC, practicing in Vail, Arizona. Medicare paid $14,012 for services to 50 patients in 2024.
Overview
| NPI | 1093490203 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 16, 2023 |
| Last updated in NPPES | Apr 2, 2025 |
| Certified by provider | Apr 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PTL.0020450 | CO |
| Physical Therapist | 225100000X | 2305215852 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NY); Practitioner - Physical Therapist in Private Practice (SC); Practitioner - Physical Therapist in Private Practice (TX); Practitioner - Physical Therapist in Private Practice (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 50 |
|---|---|
| Services billed | 707 across 9 procedure codes |
| Paid by Medicare | $14,012 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Empower Physical Therapy Tx LLCFort Worth, TX · 62 clinicians
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