Angela Cecile Comstock, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

002005 Issued in MO

Practice address

1521 S Highview Ave
Joplin, MO 64804-1242

Phone

(417) 540-2756

Fax

(877) 423-3650

NPI assigned

Sep 27, 2005

Last updated

Jan 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Angela Adamo Comstock Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Angela Comstock

  dba Mind Body Health

  • Occupational Therapist
  • Joplin, MO
  • NPI 1215924717
  NPD Authorized official

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1013904762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 S HIGHVIEW AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041242",
            "telephone_number": "417-540-2756",
            "fax_number": "877-423-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 S HIGHVIEW AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041242",
            "telephone_number": "417-540-2756",
            "fax_number": "877-423-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMSTOCK",
        "first_name": "ANGELA",
        "middle_name": "CECILE",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "OT 260",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "002005",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-02499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "COMSTOCK",
            "middle_name": "ADAMO",
            "prefix": "MS.",
            "credential": "OTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Occupational Therapist in Joplin, MO
• Providers in Joplin, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.