Speckman Therapeutics, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

070-007763 Issued in IL

Legal business name

SPECKMAN THERAPEUTICS, LLC

Practice address

88 Schoolhouse Rd
Yorkville, IL 60560-9046

Phone

(630) 553-6888

NPI assigned

May 15, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer A. Speckman, P.T.

Title

Physical Therapist/President

Phone

(630) 553-6888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gretchen M Byrd, M.S., CCC-SLP/L

  • Speech-Language Pathologist
  • Oswego, IL
  • NPI 1366547911
  NPD (past)
• Jennifer Townsend, PT

  • Physical Therapist
  • Yorkville, IL
  • NPI 1770801821
  NPD (past)
• Deanna Wyatt, PT, MHS

  • Physical Therapist
  • Oswego, IL
  • NPI 1679703946
  NPD (past)

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1962679290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 SCHOOLHOUSE RD",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605609046",
            "telephone_number": "630-553-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 SCHOOLHOUSE RD",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605609046",
            "telephone_number": "630-553-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECKMAN THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "SPECKMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "630-553-6888",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IL",
            "license": "070-007763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ILLINOIS",
            "identifier": "4732110",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jan C. Smallwood, LPC
• Kayla Marie Soto
• Amanda Soukup, OD
• B. Dawn Spahr, L.C.P.C
• Julius Phillip Spann
• Jennifer A. Speckman, PT
• Michael Evan Sperlakis, O.D.
• Spinal Health & Rehab Corporation
• Heather Ashley Stample, LCSW
• Joseph F Stejskal III, LCPC

• All providers in Yorkville, IL
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.

Verify at the official NPI Registry.