Josh Spencer

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5274 Issued in OK

Practice address

1380 N Heritage LN
Tahlequah, OK 74464-2136

Phone

(918) 456-7117

NPI assigned

Jul 10, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Stein Ancillary Services, LLC

  • Rehabilitation Practitioner
  • Fort Smith, AR
  • NPI 1073591582

  Occupational Therapist, OK

  Medicare reassignment NPD

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1104717958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 S 36TH TER",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088880",
            "telephone_number": "479-420-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 N HERITAGE LN",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642136",
            "telephone_number": "918-456-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "JOSH",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "5274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonya L Cornwell PHD Clinical Psychologist PLLC
• Sylvia Soto, M.D.
• Southern Plains Orthopaedic and Sports Medicine Institute
• Lily Grace Southern
• Jane Mechelle Speed, DMD
• Jeremy E Sprague, LPN
• Melissa Sprangle
• Beverly Jean Spriggs
• Dorothy Colleen Springer, MSW, LCSW U/S
• Kathy Stafford, MS, LBP, LPC

• Occupational Therapist in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.