Active NPI
Amy L Spilman, OT
- Occupational Therapist
- Evansville, IN
National Provider Identifier
1356696124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31005325A
- Practice address
- 225 Crosslake Dr
Evansville, IN 47715 - Phone
- (812) 477-1558
- Fax
- (812) 474-2296
- NPI assigned
- Jul 18, 2012
- Sex
- Female
- 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 Therapist | 225X00000X | 31005325A | IN | Primary |
Addresses
Primary practice location
225 Crosslake Dr
Evansville, IN 47715
Mailing address
PO Box 5629
Evansville, IN 47716-5629
Phone (812) 759-7475
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000780115 | Other | IN | BLUE CROSS BLUE SHIELD |
| 000000780585 | Other | IN | BLUE CROSS BLUE SHIELD |
| 201113200 | Medicaid | IN | |
| 000000780031 | Other | IN | BLUE CROSS BLUE SHIELD |
Other names 1
- Amy L Stallings
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31005325A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prorehab Inc | Occupational Therapist | Past | Accepting new patients |
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": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1356696124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5629",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477165629",
"telephone_number": "812-759-7475",
"fax_number": "812-773-6365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 CROSSLAKE DR",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "47715",
"telephone_number": "812-477-1558",
"fax_number": "812-474-2296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPILMAN",
"first_name": "AMY",
"middle_name": "L",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-18",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31005325A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000780115",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000780585",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201113200",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000780031",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "STALLINGS",
"middle_name": "L",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.