Katherine Buzza Sparkman, MOT/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT9448 Issued in FL

Practice address

716 E Bella Vista St
Lakeland, FL 33805-3009

Phone

(863) 683-6504

NPI assigned

Aug 21, 2013

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

Other names 1

• Mrs. Katie Buzza Sparkman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Occupational Therapist in Private Practice

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1588097901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 E BELLA VISTA ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053009",
            "telephone_number": "863-683-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 E BELLA VISTA ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053009",
            "telephone_number": "863-683-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKMAN",
        "first_name": "KATHERINE",
        "middle_name": "BUZZA",
        "name_prefix": "Mrs.",
        "credential": "MOT/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT9448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "SPARKMAN",
            "middle_name": "BUZZA",
            "prefix": "MRS.",
            "credential": "MOT/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Altagrace K Souverain, LCSW
• Lawrence Robert Sowka, MD
• Emily Anna Spangler, ARNP
• Pamela Jill Spangler
• Tatyana Faye Spann, RBT
• Pamela Elizabeth Sparkman, PA-C
• Robert Sparks, DMD
• Spartan Capital Investments
• Specialist Doctors Group LLC
• Andrea Speed

• Pediatric Occupational Therapist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.