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Active NPI 1376007849 Individual Practitioner Male Practitioner

Kevin M Spicer , LP, CP, COA

Prosthetist • Bolivar, OH

Professional Overview & Biography Verified Profile Summary

Kevin Spicer, LP, CP, COA is a registered healthcare professional specializing in Prosthetist in Bolivar, OH. Practice services are available at 11237 FAIROAKS RD NE STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11237 Fairoaks Rd Ne Ste B

Bolivar, OH 446128767

Telephone 3305951010
Fax 3305951051
Associated Practice Facility / Clinic
🏢 Spicer Orthopedics, Llc Facility NPI 1073077590

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Bolivar, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Bolivar, OH (62 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-02-16
Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License OH LP.00116

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Orthotic Fitter

NUCC Taxonomy Code: 225000000X

State License None COA00304

An individual trained in the management of fitting prefabricated orthoses.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location February 16, 2026

Registered at 11237 FAIROAKS RD NE STE B, BOLIVAR, OH 446128767 (Tel: 3305951010)

📍
Updated Business Mailing Address February 16, 2026

Registered at 11736 STRASBURG BOLIVAR RD NW APT 1, BOLIVAR, OH 446128471 (Tel: 3309049156)

👤
Provider Name / Credentials Updated February 16, 2026

Recorded as KEVIN SPICER, LP, CP, COA

📍
Updated Practice Location August 31, 2020

Registered at 1830 RIDGE RD NW, BOLIVAR, OH 446128512 (Tel: 3305951010)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2020

Prosthetist (License #LP.00116 in OH)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2020

Orthotic Fitter (License #COA00304 in None)

NPI Profile Active January 29, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 29, 2019

Registered at 890 WOOSTER RD., MILLERSBURG, OH 446541033 (Tel: 3305951010)

📍
Updated Business Mailing Address January 29, 2019

Registered at 1830 RIDGE RD NW, BOLIVAR, OH 446128512 (Tel: 3309049156)

👤
Provider Name / Credentials Updated January 29, 2019

Recorded as KEVIN SPICER, LP, COA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2019

Prosthetist (License #LP.00116 in OH)

🟢
Initial NPI Registration & Enumeration January 29, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376007849
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2019
Last Update: February 16, 2026
Sole Proprietor: No

Mailing Address

11736 Strasburg Bolivar Rd Nw Apt 1

Bolivar, OH 446128471

Phone: 3309049156

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.