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

Spencer Thomas Cushman

Individual provider Physical Therapist · NPI 1093490203

Spencer Thomas Cushman is a Physical Therapist in Private Practice in Vail, Arizona. Qualified in 2023, 3 years ago. Practices with Empower Physical Therapy Tx LLC, a 63-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado and Virginia.

Years since qualifying
3
Licensed in
CO, VA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

13370 E Mary Ann Cleveland Way Ste 130
Vail, AZ 85641-8611
Phone: (520) 689-7144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 420 E 120th Ave, Northglenn, CO 80233-1127 — (303) 280-3838
  • 2800 S Shirlington Rd, Arlington, VA 22206-3601 — (703) 933-0038

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTL.0020450 (CO)
Physical Therapist Taxonomy 225100000X · Licence 2305215852 (VA)

Record details

NPI number1093490203
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 16, 2023
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025
Mailing address420 E 120th Ave, Northglenn, CO 80233-1127

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Empower Physical Therapy Tx Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Vail