Individual provider Active NPI

Joseph A. Spillson, OTR/L

  • Occupational Therapist
  • Fairmont, WV
National Provider Identifier
1144459405
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
365 Issued in WV
Practice address
51 Southland Dr
Suite 2400
Fairmont, WV 26554-2244
Phone
(304) 367-7375
NPI assigned
Jul 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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 365 WV Primary

Addresses

Primary practice location

51 Southland Dr
Suite 2400
Fairmont, WV 26554-2244

Mailing address

51 Southland Dr
Suite 2400
Fairmont, WV 26554-2244
Phone (304) 367-7375

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

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1144459405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SOUTHLAND DR",
            "address_2": "SUITE 2400",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542244",
            "telephone_number": "304-367-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SOUTHLAND DR",
            "address_2": "SUITE 2400",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542244",
            "telephone_number": "304-367-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPILLSON",
        "first_name": "JOSEPH",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.