Active NPI
Amber Shonesy Sponaugle, OTA
- Occupational Therapy Assistant
- Loudon, TN
National Provider Identifier
1023266400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA1442
- Practice address
- 1520 Grove St
Loudon, TN 37774-1575 - Phone
- (865) 458-5436
- NPI assigned
- Aug 28, 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA1442 | TN | Primary |
Addresses
Primary practice location
1520 Grove St
Loudon, TN 37774-1575
Mailing address
917 Houston Dr
Seymour, TN 37865-3449
Phone (865) 661-0650
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 |
|---|---|---|---|
| OTA1442 | TN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248912000000",
"number": "1023266400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 HOUSTON DR",
"city": "SEYMOUR",
"state": "TN",
"postal_code": "378653449",
"telephone_number": "865-661-0650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 GROVE ST",
"city": "LOUDON",
"state": "TN",
"postal_code": "377741575",
"telephone_number": "865-458-5436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPONAUGLE",
"first_name": "AMBER",
"middle_name": "SHONESY",
"credential": "OTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-28",
"last_updated": "2009-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TN",
"license": "OTA1442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loudon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.