Active NPI
Alicia Spence
- Pediatric Occupational Therapist
- Orlando, FL
National Provider Identifier
1730365578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 304603
- Practice address
- 7380 W Sand Lake Rd Ste 500
Orlando, FL 32819-5257 - Phone
- (407) 905-9300
- NPI assigned
- Jan 10, 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 304603 | TX | Primary |
Addresses
Primary practice location
7380 W Sand Lake Rd Ste 500
Orlando, FL 32819-5257
Mailing address
7017 Talbot Dr
Orlando, FL 32819-7440
Phone (979) 595-5049
Other practice location 1
13642 N US Highway 183 Ste 200
Austin, TX 78750-2210
Phone (512) 331-4115
Other practice location 2
7380 W Sand Lake Rd Ste 50
Orlando, FL 32819-5248
Phone (407) 905-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730365578 | Medicaid | TX |
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 |
|---|---|---|---|
| 304603 | TX | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Therapy Group, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Austin, TX
- NPI 1982091500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1730365578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7017 TALBOT DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328197440",
"telephone_number": "979-595-5049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7380 W SAND LAKE RD STE 500",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328195257",
"telephone_number": "407-905-9300"
}
],
"practiceLocations": [
{
"address_1": "13642 N US Highway 183 Ste 200",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787502210",
"country_code": "US",
"telephone_number": "512-331-4115",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7380 W Sand Lake Rd Ste 50",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328195248",
"country_code": "US",
"telephone_number": "407-905-9300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPENCE",
"first_name": "ALICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-10",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "304603",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730365578",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.