Active NPI
Andrea Spencer
- Occupational Therapist
- Martinsburg, WV
National Provider Identifier
1851580849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 815
- Practice address
- 401 S Queen St
Martinsburg, WV 25401-3233 - Phone
- (304) 267-3500
- NPI assigned
- Oct 16, 2007
- Last updated
- Oct 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 815 | WV | Primary |
Addresses
Primary practice location
401 S Queen St
Martinsburg, WV 25401-3233
Mailing address
241 S Main St
Boonsboro, MD 21713-1205
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810009872 | Medicaid | WV |
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 |
|---|---|---|---|
| 815 | WV | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192492800000",
"number": "1851580849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 S MAIN ST",
"city": "BOONSBORO",
"state": "MD",
"postal_code": "217131205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S QUEEN ST",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254013233",
"telephone_number": "304-267-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "ANDREA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-16",
"last_updated": "2007-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "815",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810009872",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.