Active NPI
Jennifer N Speri, PT
- Physical Therapist
- Raleigh, NC
National Provider Identifier
1912977919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8238
- Practice address
- 10940 Raven Ridge Rd
#110
Raleigh, NC 27614-6610 - Phone
- (919) 518-0420
- Fax
- (919) 518-0421
- NPI assigned
- Jan 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8238 | NC | Primary |
Addresses
Primary practice location
10940 Raven Ridge Rd
#110
Raleigh, NC 27614-6610
Mailing address
10940 Raven Ridge Rd
#110
Raleigh, NC 27614-6610
Phone (919) 518-0420
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 078WE | Other | NC | BLUE CROSS BLUE SHIELD |
| D9502 | Other | NC | MEDCOST |
| 5947795 | Other | NC | AETNA |
Other names 1
- Jennifer Quin
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8238 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness One, Inc | Physical Therapist | Past | Accepting new patients |
| Tanas Physical Therapy | 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.
-
- Specialist
- Cary, NC
- NPI 1780669762
-
- Physical Therapist
- Raleigh, NC
- NPI 1164413902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1912977919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10940 RAVEN RIDGE RD",
"address_2": "#110",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276146610",
"telephone_number": "919-518-0420",
"fax_number": "919-518-0421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10940 RAVEN RIDGE RD",
"address_2": "#110",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276146610",
"telephone_number": "919-518-0420",
"fax_number": "919-518-0421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPERI",
"first_name": "JENNIFER",
"middle_name": "N",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "8238",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "078WE",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "D9502",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5947795",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "QUIN",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.