Active NPI
Joana M Spencer, COTA
- Occupational Therapy Assistant
- Cortlandt Manor, NY
National Provider Identifier
1285484352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 011456-01
- Practice address
- 1072 Oregon Rd
Cortlandt Manor, NY 10567-1134 - Phone
- (914) 582-3630
- NPI assigned
- Mar 25, 2024
- 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 Therapy Assistant | 224Z00000X | 011456-01 | NY | Primary |
Addresses
Primary practice location
1072 Oregon Rd
Cortlandt Manor, NY 10567-1134
Mailing address
1072 Oregon Rd
Cortlandt Manor, NY 10567-1134
Phone (914) 582-3630
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
| License | State | Type | Specialty |
|---|---|---|---|
| 011456-01 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1285484352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1072 OREGON RD",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105671134",
"telephone_number": "914-582-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1072 OREGON RD",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105671134",
"telephone_number": "914-582-3630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "JOANA",
"middle_name": "M",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-25",
"last_updated": "2024-03-25",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "011456-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cortlandt Manor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.