Individual provider Active NPI

Spencer Shaw, OT

  • Occupational Therapist
  • Layton, UT
National Provider Identifier
1346068061
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
14185579-4201 Issued in UT
Practice address
1992 W Antelope Dr Ste 1D
Layton, UT 84041-4974
Phone
(801) 773-2633
Fax
(801) 773-1553
NPI assigned
Oct 1, 2024
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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 14185579-4201 UT Primary

Addresses

Primary practice location

1992 W Antelope Dr Ste 1D
Layton, UT 84041-4974

Mailing address

1992 W Antelope Dr Ste 1D
Layton, UT 84041-4974
Phone (801) 773-2633

Other practice location 1

984 Medical Dr Ste 3
Brigham City, UT 84302-4712
Phone (435) 239-8104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241009004157 UT Practitioner - Occupational Therapist in Private Practice 5890227284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic and Neurological Rehab IncGroup PAC ID 6507159126, 368 clinicians

Practice addresses (Care Compare)

1425 S 1500
Clearfield, UT 84015-1621
Phone (512) 327-4444

984 Medical Dr
Suite 3
Brigham City, UT 84302-4712
Phone (435) 239-8104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14185579-4201UTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Hand Therapy Limited Partnership Occupational Therapist CurrentSince Jul 14, 2025 Accepting new patients
Summit Hand Therapy Limited Partnership Occupational Therapist CurrentSince Jul 14, 2025 Accepting new patients
Orthopaedic and Neurological Rehab Inc CurrentSince Oct 1, 2024 Accepting new patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc CurrentSince Oct 1, 2024 Accepting new patients
Summit Hand Therapy Past Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917

8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252

1551 Renaissance Towne Dr
Ste 440
Bountiful, UT 84010
Phone (801) 683-8040

984 S 500 W
Ste 3
Brigham City, UT 84302
Phone (435) 237-1471

1448 N 2000 W
Ste 7
Clinton, UT 84015
Phone (801) 217-3510

1992 W Antelope Dr
Ste 1D
Layton, UT 84041
Phone (801) 773-2633

67 S Main St
Ste 140
Layton, UT 84041
Phone (801) 773-2633

2850 N 2000 W
Ste 202
Ogden, UT 84404
Phone (801) 689-2389

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1346068061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1992 W ANTELOPE DR STE 1D",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414974",
            "telephone_number": "801-773-2633",
            "fax_number": "801-773-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1992 W ANTELOPE DR STE 1D",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414974",
            "telephone_number": "801-773-2633",
            "fax_number": "801-773-1553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "984 Medical Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Brigham City",
            "state": "UT",
            "postal_code": "843024712",
            "country_code": "US",
            "telephone_number": "435-239-8104",
            "fax_number": "435-239-8415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "SPENCER",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-01",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "14185579-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.