IndividualActive
Nicholas Spencer, OTR/L
NPI 1740743459 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Gatewood, MO
Provider details
- NPI number
- 1740743459
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Credential
- OTR/L
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2018031484 (MO)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 2018031484 (MO)
Residential Treatment Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3570 Ripley Ee-2
Gatewood, MO 63942-9034
Phone: (573) 255-3347
Approximate (ZIP-level) locationGet directions
Mailing address
3570 Ripley Ee-2
Gatewood, MO 63942-9034
Registry dates
- Enumerated
- 2019-04-09
- Last updated
- 2024-06-04
- Certified
- 2024-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.