Active NPI
Katlin R Spearman
- Occupational Therapist
- Auburn, WA
National Provider Identifier
1639647845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2018020352
- Practice address
- 110 2ND St SW Ste 110
Auburn, WA 98001-5250 - Phone
- (253) 237-3405
- NPI assigned
- Nov 6, 2018
- Last updated
- Jun 27, 2022
- 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 | 2018020352 | MO | Primary |
Addresses
Primary practice location
110 2ND St SW Ste 110
Auburn, WA 98001-5250
Mailing address
110 2ND St SW Ste 110
Auburn, WA 98001-5250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2018020352 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018020352 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BDB Rehabilitation PC | Occupational Therapist | Current | Accepting new patients |
| BDB Rehabilitation PC | Occupational Therapist | Current | Accepting new patients |
| Circle Creek Therapy PLLC | Occupational Therapist | Past | Accepting new patients |
| Wentzville School District | Past | Accepting new patients |
Locations
4933 Old Greenwood Rd
Fort Smith, AR 72903
Organizations & group practices 4
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.
-
dba Circle Creek Therapy
- Multi-Specialty Clinic/Center
- Auburn, WA
- NPI 1326418310
Occupational Therapist
-
- Developmentally Disabled Services Day Training Agency
- Wentzville, MO
- NPI 1811863491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1639647845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 2ND ST SW STE 110",
"city": "AUBURN",
"state": "WA",
"postal_code": "980015250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 2ND ST SW STE 110",
"city": "AUBURN",
"state": "WA",
"postal_code": "980015250",
"telephone_number": "253-237-3405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEARMAN",
"first_name": "KATLIN",
"middle_name": "R",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-06",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2018020352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2018020352",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.