HOLLY SPENCER – Physical Therapist, NPI 1124850730

HOLLY SPENCER is a healthcare provider. based in Scarborough, Maine. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT6926 (ME). The NPI Number for HOLLY SPENCER is 1124850730

Main info

Female
2 Years Of Experience
Name
HOLLY SPENCER
NPI
1124850730
Phone
(207) 289-6001
Address
245 GORHAM RD
Enumeration Date
14 August 2024
Last Update Date
14 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2072896001
Graduation Year
2024 (2 years ago)
PAC ID
8022558949
Group Practice PAC ID
5890194500
Professional Enrollment ID
I20240906000514
Address ID
ME040749558SC245XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

628 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ME

Provider Addresses for HOLLY SPENCER

  • 245 GORHAM RD

    SCARBOROUGH, ME 040749558

    Phone: (207) 289-6001

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240906000514IPhysical Therapist In Private PracticeMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04074)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890194500View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeVT
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME

Reviews

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Frequently asked questions

What identifier follows HOLLY SPENCER across health systems?
The NPI 1124850730 uniquely identifies HOLLY SPENCER in U.S. healthcare data.
Should I treat HOLLY SPENCER as an active provider?
Patients and plans typically see HOLLY SPENCER as active in the national extract.
What does the directory say HOLLY SPENCER does?
Insurance directories may phrase it differently, but here HOLLY SPENCER maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to HOLLY SPENCER?
HOLLY SPENCER is associated with Scarborough, Maine in the same public data insurers reference.
Who maintains HOLLY SPENCER's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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