Individual provider Active NPI

Raissa G Spencer, OTR/L

  • Occupational Therapist
  • Franklin, WI
National Provider Identifier
1043973407
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
710426 Issued in WI
Practice address
9200 W Loomis Rd
Franklin, WI 53132-8887
Phone
(414) 529-9200
Fax
(414) 529-9207
NPI assigned
Oct 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 710426 WI Primary

Addresses

Primary practice location

9200 W Loomis Rd
Franklin, WI 53132-8887

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250

Other practice location 1

140 E Rawson Ave Ste 317
Oak Creek, WI 53154-1525
Phone (262) 287-0090

Other practice location 2

13203 Globe Dr Ste 111
Mount Pleasant, WI 53177-1616
Phone (262) 287-0090

Other identifiers 1

IdentifierTypeStateIssuer
100193554MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rspencer329815@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220907000344 WI Practitioner - Occupational Therapist in Private Practice 1658755863 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
710426WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Lakeshore Medical Clinic, LLC CurrentSince Aug 1, 2022 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Aug 1, 2022 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Medical Support Services Inc PastSince Oct 1, 2021 Accepting new patients

Locations

9200 W Loomis Rd
Franklin, WI 53132
Phone (414) 529-9200

9200 W Loomis Rd
Ste 101
Franklin, WI 53132
Phone (414) 529-9300

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

3305 S 20th St
Milwaukee, WI 53215
Phone (414) 384-2100

9000 W Sura Ln
Milwaukee, WI 53228
Phone (414) 246-6500

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

Interoperability endpoints

  • Direct secure messaging: rspencer329815@direct.myadvocateaurora.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1043973407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044",
            "telephone_number": "800-326-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W LOOMIS RD",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328887",
            "telephone_number": "414-529-9200",
            "fax_number": "414-529-9207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 E Rawson Ave Ste 317",
            "address_purpose": "LOCATION",
            "city": "Oak Creek",
            "state": "WI",
            "postal_code": "531541525",
            "country_code": "US",
            "telephone_number": "262-287-0090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13203 Globe Dr Ste 111",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "WI",
            "postal_code": "531771616",
            "country_code": "US",
            "telephone_number": "262-287-0090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "RAISSA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "710426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100193554",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rspencer329815@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9200 W Loomis Rd",
            "city": "Franklin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531328887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "9200 W Loomis Rd",
            "city": "Franklin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531328887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.