Individual provider Active NPI

Christa Spence, OTR/L

  • Occupational Therapist
  • Voorhees, NJ
National Provider Identifier
1992106801
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00935100 Issued in NJ
Practice address
2223 Berwyn CT
Voorhees, NJ 08043-4667
Phone
(215) 518-8585
NPI assigned
Sep 10, 2014
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X TOP008813 PA
Occupational Therapist 225X00000X OC016973 PA
Occupational Therapist 225X00000X 46TR00935100 NJ Primary

Addresses

Primary practice location

2223 Berwyn CT
Voorhees, NJ 08043-4667

Mailing address

2223 Berwyn CT
Voorhees, NJ 08043-4667
Phone (215) 518-8585

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Christa@OTwellness.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200825003756 NJ Practitioner - Occupational Therapist in Private Practice 5193142941 Reassigns benefits to 1 organization
I20200917001635 PA Practitioner - Occupational Therapist in Private Practice 5193142941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TOP008813PAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Life Wellness Occupational Therapy Occupational Therapist CurrentSince Aug 6, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1992106801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 BERWYN CT",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434667",
            "telephone_number": "215-518-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 BERWYN CT",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434667",
            "telephone_number": "215-518-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "CHRISTA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "TOP008813",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC016973",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00935100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Christa@OTwellness.com",
            "affiliation": "N",
            "endpointDescription": "Secure email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Secure Communication",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2223 Berwyn Ct",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080434667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.