Individual provider Active NPI

Rebecca Spero, OT

  • Pediatric Occupational Therapist
  • Baltimore, MD
National Provider Identifier
1457648339
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
03166 Issued in MD
Practice address
6414 Park Heights Ave
Suite T1
Baltimore, MD 21215-3055
Phone
(410) 358-1997
Fax
(866) 840-6040
NPI assigned
Jun 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 03166 MD Primary

Addresses

Primary practice location

6414 Park Heights Ave
Suite T1
Baltimore, MD 21215-3055

Mailing address

3608 Bancroft Rd
Baltimore, MD 21215-3227
Phone (410) 358-1997

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

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1457648339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 BANCROFT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153227",
            "telephone_number": "410-358-1997",
            "fax_number": "866-840-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6414 PARK HEIGHTS AVE",
            "address_2": "SUITE T1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153055",
            "telephone_number": "410-358-1997",
            "fax_number": "866-840-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERO",
        "first_name": "REBECCA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MD",
            "license": "03166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.