Active NPI
Amber-Rae Mae Spencer, OTR/L
- Occupational Therapist
- Clifton Forge, VA
National Provider Identifier
1659539849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119005523
- Practice address
- 1725 Main St
Clifton Forge, VA 24422-1905 - Phone
- (540) 862-5791
- NPI assigned
- May 25, 2008
- 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 | 0119005523 | VA | Primary |
Addresses
Primary practice location
1725 Main St
Clifton Forge, VA 24422-1905
Mailing address
3701 Potts Creek Rd
Covington, VA 24426-6822
Phone (585) 322-3912
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0119005523 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1659539849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 POTTS CREEK RD",
"city": "COVINGTON",
"state": "VA",
"postal_code": "244266822",
"telephone_number": "585-322-3912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 MAIN ST",
"city": "CLIFTON FORGE",
"state": "VA",
"postal_code": "244221905",
"telephone_number": "540-862-5791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "AMBER-RAE",
"middle_name": "MAE",
"name_prefix": "Miss",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-25",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119005523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton Forge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.