Christine Louise Sparks, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6146 Issued in NC

Practice address

630 N Fodale Ave
Southport, NC 28461-3538

Phone

(910) 457-0830

NPI assigned

Mar 3, 2009

Last updated

Mar 3, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1225278229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N FODALE AVE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613538",
            "telephone_number": "910-457-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N FODALE AVE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613538",
            "telephone_number": "910-457-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "CHRISTINE",
        "middle_name": "LOUISE",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "6146",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31002164A",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "NC",
            "license": "6146",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "IN",
            "license": "31002164A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southport Internal Medicine PA
• Southport Pulmonary Medicine, PLLC
• Southport Surgical Associates, P.a.
• Southport Urgent Care
• Southport Urgent Care PLLS
• Brittany Killian Spears, PT, DPT
• St. James Fire Department, Inc.
• Julie Ann Stanwick, CNP
• Kymra Fowler Stewart, LCSW
• Mary Francis Stoker, DPT

• Occupational Therapist in Southport, NC
• Providers in Southport, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.