NPIMap

Individual provider Active NPI

Kennedy Spurlin

  • Occupational Therapist
  • Albertville, AL
National Provider Identifier
1639733629
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4970 Issued in AL
Practice address
627 E Main St
Albertville, AL 35950-2461
Phone
(256) 849-0444
Fax
(256) 849-0445
NPI assigned
Apr 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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 4970 AL Primary

Addresses

Primary practice location

627 E Main St
Albertville, AL 35950-2461

Mailing address

627 E Main St
Albertville, AL 35950-2461
Phone (256) 849-0444

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4970ALMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
The Occupational Therapy Center, LLC Occupational Therapist PastSince Aug 25, 2019 Accepting new patients
T.E.a.M. for Kids, LLC Past Accepting new patients

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": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1639733629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 E MAIN ST",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359502461",
            "telephone_number": "256-849-0444",
            "fax_number": "256-849-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 E MAIN ST",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359502461",
            "telephone_number": "256-849-0444",
            "fax_number": "256-849-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURLIN",
        "first_name": "KENNEDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "4970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.