Individual provider Active NPI

Eric William Spreeman, OTR, CHT

  • Hand Occupational Therapist
  • Bluffton, SC
National Provider Identifier
1073569588
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Practice address
8201 Pinellas Drive
Bluffton, SC 29910-2991
Phone
(843) 705-9401
NPI assigned
May 26, 2006
Last updated
Jan 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Ergonomics Occupational Therapist 225XE1200X
Hand Occupational Therapist 225XH1200X Primary

Addresses

Primary practice location

8201 Pinellas Drive
Bluffton, SC 29910-2991

Mailing address

460 Mall Blvd Ste B
Savannah, GA 31406-4801
Phone (912) 644-5346

Other practice location 1

210 E DeRenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300

Other identifiers 2

IdentifierTypeStateIssuer
3156797OtherTNBCBST - GROUP NUMBER
0446652MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041029000407 TN Practitioner - Occupational Therapist in Private Practice 0042270092 Reassigns benefits to 1 organization
I20190327001462 GA Practitioner - Occupational Therapist in Private Practice 0042270092 Reassigns benefits to 1 organization
I20190626002953 SC Practitioner - Occupational Therapist in Private Practice 0042270092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Medical University of South Carolina College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optim Orthopedics LLCGroup PAC ID 9931427002, shared by 9 NPIs, 101 clinicians

Practice addresses (Care Compare)

210 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300

8201 Pinellas Dr
Bluffton, SC 29910-4133
Phone (843) 705-9401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
510SCMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Plastic Surgery Group, P.C. Current Accepting new patients
The Plastic Surgery Group,PC CurrentSince Apr 18, 2012 Accepting new patients
Optim Orthopedics, LLC CurrentSince Feb 1, 2021 Accepting new patients
Optim Orthopedics, LLC CurrentSince Feb 1, 2021 Accepting new patients
The Plastic Surgery Group,PC CurrentSince Apr 18, 2012 Accepting new patients
Optim Orthopedics, LLC CurrentSince Feb 1, 2021 Accepting new patients
Optim Orthopedics, LLC PastSince Oct 6, 2019 Accepting new patients

Locations

210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140

8201 Pinellas Dr
Bluffton, SC 29910
Phone (843) 705-9401

16 Okatie Center Blvd S
Ste 201
Okatie, SC 29909
Phone (843) 476-4702

901 Riverfront Pkwy
Ste 100
Chattanooga, TN 37402
Phone (423) 763-4543

Interoperability endpoints

  • Direct secure messaging: eric.spreeman.1@16403.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1073569588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MALL BLVD STE B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064801",
            "telephone_number": "912-644-5346",
            "fax_number": "423-756-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 PINELLAS DRIVE",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299102991",
            "telephone_number": "843-705-9401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 E DeRenne Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314056736",
            "country_code": "US",
            "telephone_number": "912-644-5300",
            "fax_number": "912-644-5333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPREEMAN",
        "first_name": "ERIC",
        "middle_name": "WILLIAM",
        "credential": "OTR, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST - GROUP NUMBER",
            "identifier": "3156797",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446652",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.