Active NPI
Raegan Spivey, OTR/L
- Occupational Therapist
- Fork, SC
National Provider Identifier
1275933525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4015
- Practice address
- 1727 Buck Swamp Rd
Fork, SC 29543-6116 - Phone
- (877) 311-2675
- NPI assigned
- Aug 23, 2014
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225X00000X | 4015 | SC | Primary |
Addresses
Primary practice location
1727 Buck Swamp Rd
Fork, SC 29543-6116
Mailing address
521 Lakeside CT
Dillon, SC 29536-1911
Phone (843) 229-3596
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": "1408752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408752000000",
"number": "1275933525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 LAKESIDE CT",
"city": "DILLON",
"state": "SC",
"postal_code": "295361911",
"telephone_number": "843-229-3596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1727 BUCK SWAMP RD",
"city": "FORK",
"state": "SC",
"postal_code": "295436116",
"telephone_number": "877-311-2675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIVEY",
"first_name": "RAEGAN",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-23",
"last_updated": "2014-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "4015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fork, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.