Active NPI
William Carey Spencer
- Occupational Therapy Assistant
- Louisville, KY
National Provider Identifier
1356690762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- A5441
- Practice address
- 2200 Stony Brook Dr
Louisville, KY 40220-4016 - Phone
- (502) 495-6240
- NPI assigned
- Aug 30, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | A5441 | KY | Primary |
Addresses
Primary practice location
2200 Stony Brook Dr
Louisville, KY 40220-4016
Mailing address
9611 Glenawyn Cir
Jeffersontown, KY 40299-2901
Phone (502) 712-1773
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A5441 | KY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355097600000",
"number": "1356690762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9611 GLENAWYN CIR",
"city": "JEFFERSONTOWN",
"state": "KY",
"postal_code": "402992901",
"telephone_number": "502-712-1773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 STONY BROOK DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402204016",
"telephone_number": "502-495-6240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "WILLIAM",
"middle_name": "CAREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-30",
"last_updated": "2012-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "KY",
"license": "A5441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.