Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Anthony Spatafore, DPT/MS

Individual provider Specialist · NPI 1093711657

Jack Anthony Spatafore, DPT/MS is a Physical Therapist in Private Practice in Bridgeport, West Virginia. Qualified in 2000, 26 years ago. Practices with Bridgeport Physical Therapy Services, Inc, a 7-clinician group. Licensed in West Virginia.

Years since qualifying
26
Licensed in
WV
In the registry since
2005
Specialties on file
2
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Practice location Address checks out

306 W Main St
Bridgeport, WV 26330-1751
Phone: (304) 842-3137
Fax: (304) 842-3138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 002038 (WV)
Physical Therapist Taxonomy 225100000X · Licence 002038 (WV)

Record details

NPI number1093711657
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT/MS
Sole proprietorNo
NPI enumeratedJune 28, 2005
Last updated in NPPESMarch 25, 2009
Mailing address306 W Main St, Bridgeport, WV 26330-1751

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Bridgeport Physical Therapy Services, Inc. — 7 clinicians
Accepts Medicare assignment Not indicated

Other providers in Bridgeport