JOSH SPENCER
NPI 1104717958
Occupational Therapist in Tahlequah, OK

Active since July 10, 2025Accepts Medicare Assignment
1380 N HERITAGE LN, TAHLEQUAH, OK 74464(918) 456-7117 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Josh Spencer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSH SPENCER (NPI 1104717958) is an individual occupational therapist in Tahlequah, Oklahoma, licensed in Oklahoma (5274) and active in the NPI registry since July 2025. The provider is a graduate of Other (2018).

NPPES Registry Identity

NPI1104717958
Entity TypeIndividual
Primary Taxonomy225X00000X
Provider Legal NameJOSH SPENCER
Location Address1380 N HERITAGE LNTahlequah, OK 74464-2136
Mailing Address8520 S 36th TerFort Smith, AR 72908-8880 · (479) 420-7846
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 10, 2025
NPPES CertifiedJuly 10, 2025
✔ NPI 1104717958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in OK · 5274
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
1380 N HERITAGE LN, Tahlequah, OK 74464

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Josh Spencer is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577070978
PECOS Enrollment IDI20250730001133

Medicare Billing Reassignment

Medicare enrollment records show Josh Spencer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rehabilitation Practitioner
8520 S 36TH TER
Fort Smith, AR 72908
  • Reassigned Medicare billing, Oklahoma enrollment
  • 22 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
1380 N HERITAGE LN
TAHLEQUAH, OK 74464

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Josh Spencer's NPI number?

The NPI number for Josh Spencer is 1104717958. It was assigned to this individual provider in the NPPES registry on July 10, 2025.

Where is Josh Spencer located?

Josh Spencer practices at 1380 N Heritage Ln, Tahlequah, OK 74464. The listed phone number is (918) 456-7117.

What is Josh Spencer's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Josh Spencer enrolled in Medicare?

Yes. Josh Spencer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Josh Spencer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Josh Spencer reassigns Medicare benefits to Stein Ancillary Services, LLC (Fort Smith, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Josh Spencer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Josh Spencer was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.