Individual provider Active NPI

Bradford J Spencer, OT

  • Occupational Therapist
  • Spokane Valley, WA
National Provider Identifier
1497448393
Registry record updated May 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT61372870 Issued in WA
Practice address
12410 E Sinto Ave Ste 205
Spokane Valley, WA 99216-2280
Phone
(509) 922-5156
NPI assigned
May 29, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2023

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 OT61372870 WA Primary

Addresses

Primary practice location

12410 E Sinto Ave Ste 205
Spokane Valley, WA 99216-2280

Mailing address

12410 E Sinto Ave Ste 205
Spokane Valley, WA 99216-2280
Phone (509) 922-5156

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230719002378 WA Practitioner - Occupational Therapist in Private Practice 3779943931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspire Physical and Hand Therapy Spokane Inc PSGroup PAC ID 1254221112, 18 clinicians

Practice addresses (Care Compare)

12410 E Sinto Ave
Suite 205
Spokane Valley, WA 99216-2280
Phone (509) 922-5156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT61372870WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Physical & Hand Therapy Spokane Inc. P.S. Occupational Therapist CurrentSince Jun 7, 2023 Accepting new patients
Inspire Physical & Hand Therapy Spokane Inc. P.S. Occupational Therapist Past Accepting new patients

Locations

601 W 5th Ave
Ste 308
Spokane, WA 99204
Phone (509) 413-2495

12410 E Sinto Ave
Ste 205
Spokane Valley, WA 99216
Phone (509) 242-3944

Organizations & group practices 2

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": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1497448393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12410 E SINTO AVE STE 205",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162280",
            "telephone_number": "509-922-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12410 E SINTO AVE STE 205",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162280",
            "telephone_number": "509-922-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "BRADFORD",
        "middle_name": "J",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61372870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; 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.