Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SPENCER WALL DPT
NPI 1528636867
Physical Therapist in Wauwatosa, WI

Active since June 14, 2021
83.53/100
CMS Quality Rating
813 N MAYFAIR RD, WAUWATOSA, WI 53226(414) 522-9000(414) 522-9007 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Mar 8, 2024, Nov 9, 2023 and 1 more (4 updates tracked since 2021).

About Spencer Wall Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPENCER WALL DPT (NPI 1528636867) is an individual physical therapist in Wauwatosa, Wisconsin, licensed in Wisconsin (15450-24) and active in the NPI registry since June 2021. He is a graduate of Other (2021).

NPPES Registry Identity

NPI1528636867
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameSPENCER WALLCredential: DPT
Location Address813 N MAYFAIR RDWauwatosa, WI 53226-4241
Mailing Address33900 Harper Ave Ste 104Clinton Twp, MI 48035-4258 · (586) 350-2644
Fax(414) 522-9007
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 14, 2021
Last NPPES UpdateJuly 13, 20264 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
NPI 1528636867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in WI · 15450-24
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
813 N MAYFAIR RD, Wauwatosa, WI 53226

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Spencer Wall Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032511373
PECOS Enrollment IDI20210709000799

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
340 services12 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
229 services12 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.62
Improvement Activities40

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
813 N MAYFAIR RD
WAUWATOSA, WI 53226
Physical Therapist
813 N MAYFAIR RD
WAUWATOSA, WI 53226
Physical Therapist
813 N MAYFAIR RD
MILWAUKEE, WI 53226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spencer Wall's NPI number?

The NPI number for Spencer Wall is 1528636867. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Spencer Wall located?

Spencer Wall practices at 813 N Mayfair Rd, Wauwatosa, WI 53226. The listed phone number is (414) 522-9000.

What is Spencer Wall's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Spencer Wall enrolled in Medicare?

Yes. Spencer Wall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Spencer Wall accept?

Health plans from Anthem Blue Cross and Blue Shield list Spencer Wall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Spencer Wall was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.