Provider Demographics
NPI:1154294726
Name:SPAIN, NATHANIEL DENNIS (OTR/L)
Entity type:Individual
Prefix:
First Name:NATHANIEL
Middle Name:DENNIS
Last Name:SPAIN
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3310 SW 44TH ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66610-1712
Mailing Address - Country:US
Mailing Address - Phone:785-550-9921
Mailing Address - Fax:
Practice Address - Street 1:4400 W 115TH ST
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-2684
Practice Address - Country:US
Practice Address - Phone:913-491-3681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist