Active NPI
Angela Therese Spinelli
- Occupational Therapist
- North Aurora, IL
National Provider Identifier
1083975411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056011416
- Practice address
- 66 Miller Dr
#102
North Aurora, IL 60542-5143 - Phone
- (630) 907-9165
- NPI assigned
- Jun 1, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056011416 | IL | Primary |
Addresses
Primary practice location
66 Miller Dr
#102
North Aurora, IL 60542-5143
Mailing address
66 Miller Dr
#102
North Aurora, IL 60542-5143
Phone (630) 907-9165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056011416 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treehouse Pediatric Therapy P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Physical Therapist
- Woodridge, IL
- NPI 1568750107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492992000000",
"number": "1083975411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 MILLER DR",
"address_2": "#102",
"city": "NORTH AURORA",
"state": "IL",
"postal_code": "605425143",
"telephone_number": "630-907-9165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 MILLER DR",
"address_2": "#102",
"city": "NORTH AURORA",
"state": "IL",
"postal_code": "605425143",
"telephone_number": "630-907-9165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPINELLI",
"first_name": "ANGELA",
"middle_name": "THERESE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-01",
"last_updated": "2017-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056011416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.