Angela Gotora

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP15676 Issued in OH

Practice address

150 Cleveland St
Chagrin Falls, OH 44022-2985

Phone

(440) 247-4200

NPI assigned

Nov 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services Oh, LLCGroup PAC ID 1254698350, 142 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fox Rehabilitation Services Oh, LLC

  • Physical Therapist
  • Beachwood, OH
  • NPI 1265968481

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705104000000",
    "number": "1013783695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24850 HILLTOP DR",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CLEVELAND ST",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440222985",
            "telephone_number": "440-247-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTORA",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2024-01-13",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP15676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Goldstein, BSN, RN, IBCLC
• Christina Leja Goodall, LISW-S
• Asia Goode, STNA
• Glenn Richard Goodrich, DDS,MSD.
• Ann Wechter Gordos, R.N.
• Carrie Grace
• Veronica J Grant
• Stephen Grcevich, M.D.
• Michael H. Greenberg, O.D.
• Irina Y Gross, DPM

• Speech-Language Pathologist in Chagrin Falls, OH
• Providers in Chagrin Falls, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.