Active NPI
Lori Lynn Spencer, LMT
- Massage Therapist
- Chicago, IL
National Provider Identifier
1659547164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227-003030
- Practice address
- 141 W Jackson Blvd
Suite a 20
Chicago, IL 60604-2929 - Phone
- (312) 636-0440
- NPI assigned
- May 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 227-003030 | IL | Primary |
Addresses
Primary practice location
141 W Jackson Blvd
Suite a 20
Chicago, IL 60604-2929
Mailing address
141 W Jackson Blvd
Suite a 20
Chicago, IL 60604-2929
Phone (312) 636-0440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227-003030 | Other | IL | IL LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 227-003030 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242086400000",
"number": "1659547164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 W JACKSON BLVD",
"address_2": "SUITE A 20",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606042929",
"telephone_number": "312-636-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 W JACKSON BLVD",
"address_2": "SUITE A 20",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606042929",
"telephone_number": "312-636-0440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "LORI",
"middle_name": "LYNN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-05",
"last_updated": "2009-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227-003030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL LICENSE",
"identifier": "227-003030",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.