Individual provider Active NPI

Katherine A Spero, MSPT

  • Pediatric Physical Therapist
  • Evanston, IL
National Provider Identifier
1205987211
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
070012350 Issued in IL
Practice address
2110 Noyes St
Evanston, IL 60201-2558
Phone
(847) 869-3959
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070012350 IL
Pediatric Physical Therapist 2251P0200X 070012350 IL Primary

Addresses

Primary practice location

2110 Noyes St
Evanston, IL 60201-2558

Mailing address

2110 Noyes St
Evanston, IL 60201-2558
Phone (847) 869-3959

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

LicenseStateTypeSpecialty
070012350ILMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: katherine.spero.1@11074.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1205987211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 NOYES ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012558",
            "telephone_number": "847-869-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 NOYES ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012558",
            "telephone_number": "847-869-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERO",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070012350",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": "070012350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.