Active NPI
Sandra Andrea Spanos Johnson, PT
- Physical Therapist
- Tewksbury, MA
National Provider Identifier
1154440212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4143
- Practice address
- 191 Bligh St
Tewksbury, MA 01876-1372 - Phone
- (978) 640-8941
- NPI assigned
- Mar 28, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4143 | MA | Primary |
Addresses
Primary practice location
191 Bligh St
Tewksbury, MA 01876-1372
Mailing address
191 Bligh St
Tewksbury, MA 01876-1372
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 |
|---|---|---|---|
| 4143 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
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": "1154440212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 BLIGH ST",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018761372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 BLIGH ST",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018761372",
"telephone_number": "978-640-8941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPANOS JOHNSON",
"first_name": "SANDRA",
"middle_name": "ANDREA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "4143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tewksbury, MA
Sources for this page
- 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.