Thomas Joseph Spencer III, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

210634 Issued in TX

Practice address

1400 Lake Shore Dr
Waco, TX 76708-3718

Phone

(254) 753-0291

NPI assigned

Oct 21, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1295602571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 BREWSTER ST",
            "city": "ROBINSON",
            "state": "TX",
            "postal_code": "767064629",
            "telephone_number": "254-753-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LAKE SHORE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083718",
            "telephone_number": "254-753-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_suffix": "III",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "210634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Christine Sparks, LCSW, CCM
• Kelsey Marie Sparks, BCBA
• Jasmine Mary Alexa Spears
• Brittany Gayle Speights, MS, CCC-SLP
• Laurie Lee Spencer, MA, LPC
• Rachel Spicer, DC
• Leigh V. Spivey, ACNP
• Adam W Spjute, MD
• Wendy Sprenger, M.S., CCC-SLP
• Robert Ralph Springer, MD

• Occupational Therapy Assistant in Waco, TX
• Providers in Waco, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.