Dinah Lynn Spence

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT002640 Issued in GA

Practice address

318 W Pike St
Suite 104
Lawrenceville, GA 30045-3234

Phone

(678) 377-2833

NPI assigned

Dec 5, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

University of Alabama School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Broad River Rehabilitation

  dba Broad River Rehab

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1902317589

  GA

  Medicare reassignment Care Compare group NPD
• All About Kids Therapy Services, Inc.

  • Pediatric Physical Therapist
  • Lawrenceville, GA
  • NPI 1992997563

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1134287907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 DEEP SPRINGS DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873628",
            "telephone_number": "404-634-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W PIKE ST",
            "address_2": "SUITE 104",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453234",
            "telephone_number": "678-377-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "DINAH",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT002640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP-AAKTS",
            "identifier": "10037598",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00819277B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE- AAKTS",
            "identifier": "307935",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig M Spector, MD
• Jennifer Maria Speights, M.ED.
• Charles S Speir, APRN, BC
• Kristyn Spelina
• Samantha Suzanne Spell, RN, NP-C
• Tatianna Spence
• Donovan James Spencer, MD
• Laura Leigh Spencer, LPC
• Laurie Diane Sperry
• Jay Vincent Spinale, L.C.S.W.

• Pediatric Occupational Therapist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.