Individual provider Active NPI

Shmeka Spratt, COTA/L

  • Occupational Therapy Assistant
  • Kirtland, OH
National Provider Identifier
1710342688
Registry record updated Dec 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA-03201 Issued in OH
Practice address
9685 Chillicothe Rd
Kirtland, OH 44094-8503
Phone
(440) 256-8100
NPI assigned
Dec 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA-03201 OH Primary

Addresses

Primary practice location

9685 Chillicothe Rd
Kirtland, OH 44094-8503

Mailing address

9685 Chillicothe Rd
Kirtland, OH 44094-8503

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
OTA-03201OHMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1450569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450569600000",
    "number": "1710342688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9685 CHILLICOTHE RD",
            "city": "KIRTLAND",
            "state": "OH",
            "postal_code": "440948503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9685 CHILLICOTHE RD",
            "city": "KIRTLAND",
            "state": "OH",
            "postal_code": "440948503",
            "telephone_number": "440-256-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRATT",
        "first_name": "SHMEKA",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-20",
        "last_updated": "2015-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA-03201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirtland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2015; 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.