Travis Spurlock, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

R1886 Issued in KY

Practice address

100 Highway 15 S Ste 136
Jackson, KY 41339-8636

Phone

(606) 693-9644

Fax

(606) 693-9643

NPI assigned

Oct 21, 2011

Sex

Male

Sole proprietor

No

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)

Enrolled

Practice roles

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.

• Therapy Solutions & Management Inc.

  • Rehabilitation Clinic/Center
  • Jackson, KY
  • NPI 1508074238
  NPD (past)

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1326323320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1711",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417021711",
            "telephone_number": "606-436-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHWAY 15 S STE 136",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413398636",
            "telephone_number": "606-693-9644",
            "fax_number": "606-693-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURLOCK",
        "first_name": "TRAVIS",
        "name_prefix": "Mr.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R1886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca K Smith, LCSW
• Tracey Smith, CADC,LPCC
• Travis Charles Smith
• Sound Physicians Anesthesiology of Kentucky PSC
• Bernetta Southwood, LCSW
• Ssac, LLC
• St. John Neumann'S Extended Hours Clinic
• St. John Neumanns Intergrated Pain Management
• Roscoe H Stamper
• Angel Stevens, CCC-SLP

• Occupational Therapist in Jackson, KY
• Providers in Jackson, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.