Individual provider Active NPI

Dubravka Spera, MS, CCC- SLP, CBIS

  • Speech-Language Pathologist
  • Phoenixville, PA
National Provider Identifier
1255560843
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL009785 Issued in PA
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

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GEA4048549800OtherPAINDEPENDENCE BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221006001999 PA Practitioner - Qualified Speech Language Pathologist 1153707625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Language Solutions LLC Speech-Language Pathologist CurrentSince Sep 23, 2022 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.

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.

Verify at the official NPI Registry.