Angela Carter

Individual provider Active NPI Developmental Therapist · Sycamore, IL

NPI 1033325873 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1033325873
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
1157 Martin St
Sycamore, IL 60178-1246
Phone
(815) 739-8972
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Musical Deveopments FL Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

1157 Martin St
Sycamore, IL 60178-1246

Mailing address

1157 Martin St
Sycamore, IL 60178-1246

Other providers in Sycamore, IL

All providers in Sycamore, IL · Developmental Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.