Active NPI
Kiley Ann Spencer
- Occupational Therapy Assistant
- Lima, OH
National Provider Identifier
1104769207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA007249
- Practice address
- 1920 Slabtown Rd
Lima, OH 45801-3309 - Phone
- (419) 222-1836
- NPI assigned
- Apr 13, 2026
- 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 | OTA007249 | OH | Primary |
Addresses
Primary practice location
1920 Slabtown Rd
Lima, OH 45801-3309
Mailing address
1920 Slabtown Rd
Lima, OH 45801-3309
Phone (419) 222-1836
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 |
|---|---|---|---|
| OTA007249 | OH | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen County Educational Service Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Lima, OH
- NPI 1609093145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1104769207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 SLABTOWN RD",
"city": "LIMA",
"state": "OH",
"postal_code": "458013309",
"telephone_number": "419-222-1836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 SLABTOWN RD",
"city": "LIMA",
"state": "OH",
"postal_code": "458013309",
"telephone_number": "419-222-1836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "KILEY",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-13",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OH",
"license": "OTA007249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
- Specialized Alternatives for Families and Youth of Ohio, Inc.
- Specialized Alternatives for Family and Youth
- Specialized Therapy Services, LLC
- Speelman Eye Care, LLC
- Brianna Meghan Spell, ATC, LAT
- Krista Elnora Spicer, CPSS
- Naomi Spicer
- Bradley Sprague, LPN
- Jack Spratt Jr., D.D.S.
- Carley Springer, MA, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.