Jack Anthony Spatafore, DPT/MS
NPI 1093711657ActiveIndividual· Specialist· Bridgeport, WV
Specialist (DPT/MS) with Bridgeport Physical Therapy Services, Inc., practicing in Bridgeport, West Virginia. Medicare paid $30,639 for services to 57 patients in 2024.
Overview
| NPI | 1093711657 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT/MS |
| Sole proprietor | No |
| NPI issued | Jun 28, 2005 |
| Last updated in NPPES | Mar 25, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 002038 | WV |
| Physical Therapist | 225100000X | 002038 | WV |
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 (WV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 57 |
|---|---|
| Services billed | 1,806 across 10 procedure codes |
| Paid by Medicare | $30,639 |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Bridgeport Physical Therapy Services, Inc.Bridgeport, WV · 8 clinicians
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