Korrie Sparks, OTD, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

298139 Issued in CA

Practice address

19772 Macarthur Blvd
Suite #260
Irvine, CA 92612-2413

Phone

(949) 891-0325

NPI assigned

Aug 29, 2012

Last updated

Jan 20, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1902155575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31912 9TH AVE",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19772 MACARTHUR BLVD",
            "address_2": "SUITE #260",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122413",
            "telephone_number": "949-891-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "KORRIE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "298139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maia Rose Spallone
• Jodi Spangler
• Hilary Hayashi Spannagel
• Alison Spanoghe
• Blake Butler Sparks, M.D.
• Specialized University Pathologists
• Specialty Surgical Center of Irvine LP
• Rafael Speck, LMFT
• Spectrum Internal Medicine Associates, Inc. a Professional Corporation
• Spectrum Pharmacy

• Pediatric Occupational Therapist in Irvine, CA
• Providers in Irvine, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.