Individual provider Active NPI

Hannah Spach, OT

  • Occupational Therapist
  • Colfax, NC
National Provider Identifier
1992483069
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13136 Issued in NC
Practice address
1575 John Knox Dr
Colfax, NC 27235-9662
Phone
(336) 668-4900
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 13136 NC Primary
Physical Rehabilitation Occupational Therapist 225XP0019X

Addresses

Primary practice location

1575 John Knox Dr
Colfax, NC 27235-9662

Mailing address

3625 Fairlane St
High Point, NC 27265-1319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241202000952 NC Practitioner - Occupational Therapist in Private Practice 4284169137 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services Inc CurrentSince Oct 25, 2024 Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Oct 25, 2024 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Oct 25, 2024 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Oct 25, 2024 Accepting new patients
Moses Cone Physician Services, Inc. Current Accepting new patients

Locations

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

1211 Virginia St
Greensboro, NC 27401
Phone (336) 272-0012

4443 Jessup Grove Rd
Greensboro, NC 27410
Phone (336) 663-4600

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

Organizations & group practices 5

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": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1992483069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 FAIRLANE ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 JOHN KNOX DR",
            "city": "COLFAX",
            "state": "NC",
            "postal_code": "272359662",
            "telephone_number": "336-668-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPACH",
        "first_name": "HANNAH",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "13136",
            "primary": true
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colfax, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.