Individual provider Active NPI

Damion Spillman, PTA

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Natchitoches, LA
National Provider Identifier
1760906333
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
A09489 Issued in LA
Practice address
733 Keyser Ave Ste 100
Natchitoches, LA 71457-0039
Phone
(318) 238-4480
Fax
(318) 238-4492
NPI assigned
Jul 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X A09489 LA Primary

Addresses

Primary practice location

733 Keyser Ave Ste 100
Natchitoches, LA 71457-0039

Mailing address

733 Keyser Ave Ste 100
Natchitoches, LA 71457-0039
Phone (318) 238-4480

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
A09489LAMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lori L. Wheat, PT, Ocs, Inc. CurrentSince Jul 24, 2022 Accepting new patients
Lori L Wheat PT, Ocs PastSince Jul 24, 2022 Accepting new patients

Locations

733 Keyser Ave
Ste 100
Natchitoches, LA 71457
Phone (318) 214-4296

Organizations & group practices 2

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": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760906333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 KEYSER AVE STE 100",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714570039",
            "telephone_number": "318-238-4480",
            "fax_number": "318-238-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 KEYSER AVE STE 100",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714570039",
            "telephone_number": "318-238-4480",
            "fax_number": "318-238-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPILLMAN",
        "first_name": "DAMION",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "LA",
            "license": "A09489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.