Michael Spero

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT337 Issued in ID

Practice address

3163 N Ash Park LN
Boise, ID 83704-5715

Phone

(208) 867-0116

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Therapy Express PA

  • Clinic/Center
  • Boise, ID
  • NPI 1568587707
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124147772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8024 W SCARDALE CT",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837040713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3163 N ASH PARK LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045715",
            "telephone_number": "208-867-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERO",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeri K. Spencer, NP
• Stephen E Spencer Sr., MD
• Susan H Spencer, L.M.T
• Heather Spero, PA
• Melissa Spero, COTA/L
• Elena VM Speroff, NP
• Wynn P Sperry
• Kelsey Rae Spiegel, P.T.
• James P Spiess, MD
• Krystine Rene Spiess, DO

• Occupational Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.