Mary Beth Bridget Spellman, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OC001613L Issued in PA

Practice address

53 Gravel St
Wilkes Barre, PA 18705-3738

Phone

(570) 371-5600

NPI assigned

Aug 11, 2009

Sex

Female

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

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.

• Pediatria Healthcare,LLC

  • Medically Fragile Infants and Children Day Care
  • Wilkes Barre, PA
  • NPI 1720214133
  NPD (past)
• Pediatriahealthcarellc

  • Medically Fragile Infants and Children Day Care
  • Wilkes Barre, PA
  • NPI 1639305048
  NPD (past)

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1356573224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 BARBER ST",
            "city": "SWOYERSVILLE",
            "state": "PA",
            "postal_code": "187042027",
            "telephone_number": "570-826-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 GRAVEL ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187053738",
            "telephone_number": "570-371-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELLMAN",
        "first_name": "MARY BETH",
        "middle_name": "BRIDGET",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PA",
            "license": "OC001613L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tia M Spagnuolo, MS, CCC-SLP
• Salvatore P Sparich, DO
• Special Care Smiles, LLC
• Howard L Spector, DO
• Robert Speicher, PTA
• Catherine Spencer, RN, BSN
• Cindy Lou Spock
• St. Luke'S Villa
• Jennifer Stahl
• Jill Nicole Stahl

• Pediatric Occupational Therapist in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Pediatric Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.