Organization Active NPI

Spot Services, PC

  • Rehabilitation Clinic/Center
  • Evansville, IN
National Provider Identifier
1720448434
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
SPOT SERVICES, PC
Practice address
5401 Vogel Rd Ste 104
Evansville, IN 47715-7832
Phone
(812) 447-5000
NPI assigned
Feb 24, 2016
Last updated
Feb 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Authorized official

Name
Jeffrey ClaytonNPI 1831212745
Title
Owner
Phone
(317) 506-2073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

5401 Vogel Rd Ste 104
Evansville, IN 47715-7832

Mailing address

5401 Vogel Rd Ste 104
Evansville, IN 47715-7832
Phone (812) 447-5000

Other identifiers 1

IdentifierTypeStateIssuer
200940440AMedicaidIN

National Provider Directory

National Provider Directory

Locations

5401 Vogel Rd
Ste 104
Evansville, IN 47715
Phone (812) 447-5000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1720448434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 VOGEL RD STE 104",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157832",
            "telephone_number": "812-447-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 VOGEL RD STE 104",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157832",
            "telephone_number": "812-447-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOT SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-506-2073"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200940440A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.