Spencer J Smith, CPO, LOP

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

1480 Issued in TX

Practice address

230 Spring Hill Dr
Suite 335
Spring, TX 77386-2388

Phone

(281) 296-8999

Fax

(281) 296-8989

NPI assigned

Jun 21, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Grace Rehab, Inc.

  • Prosthetic/Orthotic Supplier
  • Plano, TX
  • NPI 1679388359

  Orthotist

  NPD
• Grace Rehab, Inc.

  • Prosthetic/Orthotic Supplier
  • McKinney, TX
  • NPI 1801808985

  Orthotist

  NPD
• Hope Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Spring, TX
  • NPI 1487652749

  Orthotist

  NPD (past)

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1891058004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SPRING HILL DR",
            "address_2": "SUITE 335",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773862388",
            "telephone_number": "281-296-8999",
            "fax_number": "281-296-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SPRING HILL DR",
            "address_2": "SUITE 335",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773862388",
            "telephone_number": "281-296-8999",
            "fax_number": "281-296-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SPENCER",
        "middle_name": "J",
        "credential": "CPO, LOP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TX",
            "license": "1480",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TX",
            "license": "1480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Nicole Smith
• Raven M Smith, APRN, FNP-C
• Rebecka Smith, BCBA, LBA
• Samantha Smith
• Shane O Smith, PA-C
• Steven Scott Smith, DC
• Tamia Smith
• Tanya Smith, COTA
• Tatyanna C Smith, BT
• Teericka L Smith

• Prosthetist in Spring, TX
• Providers in Spring, TX by specialty
• Prosthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.