Kendra K Sponn, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05007791A Issued in IN

Practice address

514 E State Road 32
Westfield, IN 46074-8767

Phone

(877) 366-2663

Fax

(317) 867-3798

NPI assigned

Mar 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1518928092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 358",
            "city": "TIPTON",
            "state": "IN",
            "postal_code": "460720358",
            "telephone_number": "765-675-8119",
            "fax_number": "765-675-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 E STATE ROAD 32",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748767",
            "telephone_number": "877-366-2663",
            "fax_number": "317-867-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPONN",
        "first_name": "KENDRA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007791A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID",
            "identifier": "000000361993",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200513890",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deepti Sood, M.D.
• Llasmin Soto Moore
• Special Education & Behavioral Consultants, LLC
• Jonathon Speidel
• Aariona Spencer
• Carolyn Rose Sprehe
• Spirit Springfield
• St. Vincent Medical Group, Inc.
• Matthew A Stach, LMHC
• Leah Stacy, RBT

• Physical Therapist in Westfield, IN
• Providers in Westfield, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.