Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Jack Anthony Spatafore, DPT/MS
Specialist in Bridgeport, WV · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1093711657
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Registry record
Entity type Individual (Type 1)
Name Jack Anthony Spatafore
Credential DPT/MS
Sex Male
Practice address 306 W Main St, Bridgeport, WV, 26330
Phone (304) 842-3137
Fax (304) 842-3138
Enumeration date Jun 28, 2005
Last updated in NPPES Mar 25, 2009
Taxonomy & licenses
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 002038 (WV) Secondary
DPT · Doctor of Physical Therapy: A physical therapist holding the clinical doctorate now standard for the profession.
About the DPT credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01071873100 | Other | WV | WV WORKERS' COMPENSATION |
| 1382862 | Other | WV | UMWA |
| 7305012-001 | Medicaid | WV | - |
| WV51916B | Other | WV | HEALTH PLAN |
| 701615 | Other | WV | AETNA |
| 650023875 | Other | WV | RAILROAD MEDICARE |
| 010718731004 | Other | WV | BLUE CROSS |
| 135810 | Other | WV | HEALTH ASSURANCE |
| 398789 | Other | WV | OPTIMUM CHOICE |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Jack Spatafore practice?
The practice location on file with NPPES is in Bridgeport, WV. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jack Spatafore?
The National Provider Identifier (NPI) for Jack Spatafore is 1093711657, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
Browse all → Marnie Clemens Specialist · Bridgeport, WV NPI 1588666549 Susan Wood Specialist · Bridgeport, WV NPI 1487650107 Christa Randolph Physical Therapist · Bridgeport, WV NPI 1174508121 Ginger Boles Physician Assistant · Bridgeport, WV NPI 1912983305 Bridgeport Physical Therapy Services, Inc. Specialist · Bridgeport, WV NPI 1912086158 Julie Harbert Occupational Therapist · Bridgeport, WV NPI 1649477183 Wv Therapy Services LLC Specialist · Bridgeport, WV NPI 1063692333 Gwendolyn Masterman Occupational Therapist · Bridgeport, WV NPI 1194905620
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-03-25.