Active NPI
Dubravka Spera, MS, CCC- SLP, CBIS
- Speech-Language Pathologist
- Phoenixville, PA
National Provider Identifier
1255560843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL009785
- Practice address
- 42 Quail Dr S
Phoenixville, PA 19460-1076 - Phone
- (267) 664-6129
- NPI assigned
- Jul 6, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Speech-Language Pathologist | 235Z00000X | SL009785 | PA | Primary |
Addresses
Primary practice location
42 Quail Dr S
Phoenixville, PA 19460-1076
Mailing address
42 Quail Dr S
Phoenixville, PA 19460-1076
Phone (267) 664-6129
Other practice location 1
728 Norristown Rd
Lower Gwynedd, PA 19002-2125
Phone (215) 628-3545 ext. 7
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GEA4048549800 | Other | PA | INDEPENDENCE BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221006001999 | PA | Practitioner - Qualified Speech Language Pathologist | 1153707625 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Language Solutions LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Benchmark Therapy, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Phoenixville, PA
- NPI 1386365930
-
- Physical Therapy Clinic/Center
- Philadelphia, PA
- NPI 1922553965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1255560843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 QUAIL DR S",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194601076",
"telephone_number": "267-664-6129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 QUAIL DR S",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194601076",
"telephone_number": "267-664-6129"
}
],
"practiceLocations": [
{
"address_1": "728 Norristown Rd",
"address_purpose": "LOCATION",
"city": "Lower Gwynedd",
"state": "PA",
"postal_code": "190022125",
"country_code": "US",
"telephone_number": "215-628-3545 x7",
"fax_number": "215-654-0874",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPERA",
"first_name": "DUBRAVKA",
"credential": "MS, CCC- SLP, CBIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-06",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL009785",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "GEA4048549800",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenixville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.