Active NPI
Shana Spencer
- Occupational Therapist
- Milton, DE
National Provider Identifier
1578816898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 63 017667
- Practice address
- 124 Broadkill Rd, #1045
Milton, DE 19968-1008 - Phone
- (443) 583-3410
- NPI assigned
- Oct 24, 2012
- Last updated
- Feb 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 63 017667 | NY | Primary |
Addresses
Primary practice location
124 Broadkill Rd, #1045
Milton, DE 19968-1008
Mailing address
124 Broadkill Rd # 1045
Milton, DE 19968-1008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MD
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9314 Lawson LN
Laurel, MD 20723-5829
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63 017667 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pace Health Services, Inc. | Occupational Therapist | Current | Accepting new patients |
Locations
124 Broadkill Rd
Milton, DE 19968
Phone (302) 216-9597
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Laurel, MD
- NPI 1316770910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769904000000",
"number": "1578816898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 BROADKILL RD # 1045",
"city": "MILTON",
"state": "DE",
"postal_code": "199681008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 BROADKILL RD, #1045",
"city": "MILTON",
"state": "DE",
"postal_code": "199681008",
"telephone_number": "443-583-3410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "SHANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-24",
"last_updated": "2026-02-01",
"certification_date": "2026-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "63 017667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milton, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.