Individual provider Active NPI

Alicia Spence

  • Pediatric Occupational Therapist
  • Orlando, FL
National Provider Identifier
1730365578
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
304603 Issued in TX
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

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1730365578MedicaidTX

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
304603TXMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.