NPIMap

Individual provider Active NPI

John Spillane, OTR

  • Occupational Therapist
  • Milford, DE
National Provider Identifier
1174897136
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
U1-0001003 Issued in DE
Practice address
906 Lakeview Ave
Milford, DE 19963-1732
Phone
(302) 684-4950
Fax
(302) 684-8931
NPI assigned
Mar 8, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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 U1-0001003 DE Primary

Addresses

Primary practice location

906 Lakeview Ave
Milford, DE 19963-1732

Mailing address

906 Lakeview Ave
Milford, DE 19963-1732
Phone (302) 422-1600

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

LicenseStateTypeSpecialty
U1-0001003DEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Delaware 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.

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1174897136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 LAKEVIEW AVE",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631732",
            "telephone_number": "302-422-1600",
            "fax_number": "302-684-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 LAKEVIEW AVE",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631732",
            "telephone_number": "302-684-4950",
            "fax_number": "302-684-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPILLANE",
        "first_name": "JOHN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DE",
            "license": "U1-0001003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.