Active NPI
Richard Spenner Sr.
- Kinesiotherapist
- Port Washington, WI
National Provider Identifier
1982901765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Kinesiotherapist
- License
- 02-04-05-025
- Practice address
- 931 Niagara LN
Port Washington, WI 53074-1765 - Phone
- (414) 333-3217
- Fax
- (888) 503-3706
- NPI assigned
- Feb 14, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Kinesiotherapist | 226300000X | 02-04-05-025 | WI | Primary |
Addresses
Primary practice location
931 Niagara LN
Port Washington, WI 53074-1765
Mailing address
931 Niagara LN
Port Washington, WI 53074-1765
Phone (414) 333-3217
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": "1297641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297641600000",
"number": "1982901765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 NIAGARA LN",
"city": "PORT WASHINGTON",
"state": "WI",
"postal_code": "530741765",
"telephone_number": "414-333-3217",
"fax_number": "888-503-3706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 NIAGARA LN",
"city": "PORT WASHINGTON",
"state": "WI",
"postal_code": "530741765",
"telephone_number": "414-333-3217",
"fax_number": "888-503-3706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENNER",
"first_name": "RICHARD",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-14",
"last_updated": "2011-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "226300000X",
"taxonomy_group": "",
"desc": "Kinesiotherapist",
"state": "WI",
"license": "02-04-05-025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Washington, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.