Active NPI
Spencer Claussen, COTA
- Occupational Therapist
- Pueblo, CO
National Provider Identifier
1710401146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.0008620
- Practice address
- 314 Jackson St
Pueblo, CO 81004-1830 - Phone
- (719) 369-0240
- NPI assigned
- Jul 27, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT.0008620 | CO | Primary |
| Occupational Therapy Assistant | 224Z00000X | OTA.0000946 | CO |
Addresses
Primary practice location
314 Jackson St
Pueblo, CO 81004-1830
Mailing address
314 Jackson St
Pueblo, CO 81004-1830
Phone (719) 369-0240
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 |
|---|---|---|---|
| OTA.0000946 | CO | MD | Occupational Therapy Assistant |
| OT.0008620 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1710401146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 JACKSON ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810041830",
"telephone_number": "719-369-0240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 JACKSON ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810041830",
"telephone_number": "719-369-0240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAUSSEN",
"first_name": "SPENCER",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-27",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.0008620",
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CO",
"license": "OTA.0000946",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.