Individual provider Active NPI

Sarah Cook Spencer

  • Occupational Therapist
  • Charleston, WV
National Provider Identifier
1316592835
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2259 Issued in WV
Practice address
1015 Oakhurst Dr
Charleston, WV 25314-2049
Phone
(304) 345-8101
NPI assigned
Aug 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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 2259 WV Primary

Addresses

Primary practice location

1015 Oakhurst Dr
Charleston, WV 25314-2049

Mailing address

1015 Oakhurst Dr
Charleston, WV 25314-2049
Phone (304) 345-8101

Other practice location 1

2117 McComas Way Ste 105
Virginia Beach, VA 23456-3908
Phone (757) 427-5505

Other identifiers 1

IdentifierTypeStateIssuer
2259OtherWVOT LICENSURE

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

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Therapy Services, Inc. Occupational Therapist CurrentSince Sep 17, 2023 Accepting new patients

Locations

1015 Oakhurst Dr
Charleston, WV 25314
Phone (304) 345-8101

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": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1316592835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 OAKHURST DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142049",
            "telephone_number": "304-345-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 OAKHURST DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142049",
            "telephone_number": "304-345-8101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2117 McComas Way Ste 105",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234563908",
            "country_code": "US",
            "telephone_number": "757-427-5505",
            "fax_number": "757-427-5503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "SARAH",
        "middle_name": "COOK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "2259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSURE",
            "identifier": "2259",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.