Individual provider Active NPI

Angela Kay Fluitt, OTR/L, CHT

  • Occupational Therapist
  • South Lake Tahoe, CA
National Provider Identifier
1073654307
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6598 Issued in CA
Practice address
2170 South Ave
South Lake Tahoe, CA 96150-7026
Phone
(530) 543-5896
Fax
(530) 544-6512
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0035 NV
Occupational Therapist 225X00000X 6598 CA Primary

Addresses

Primary practice location

2170 South Ave
South Lake Tahoe, CA 96150-7026

Mailing address

PO Box 9578
South Lake Tahoe, CA 96158-9578
Phone (530) 543-5896

Other practice location 1

155 Highway 50 Fl 2
Stateline, NV 89449-9816
Phone (775) 589-8953

Other practice location 2

935 Mica Dr
Ste 13
Carson City, NV 89705-7268
Phone (775) 783-3065

Other practice location 3

1139 3rd St
South Lake Tahoe, CA 96150-3465
Phone (530) 543-5706

Other names 1

  • Angela Koch Fluitt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050209000203 NV Practitioner - Occupational Therapist in Private Practice 8022069855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barton Medical FoundationGroup PAC ID 5395127682, 97 clinicians

Practice addresses (Care Compare)

935 Mica Dr
Suite 13
Carson City, NV 89705-7181
Phone (775) 783-3065

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6598CAMDOccupational Therapist
0035NVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Tahoe Orthopaedic Institute a Watson-Swanson Professional Corp CurrentSince Nov 1, 2004 Accepting new patients
Barton Medical Foundation CurrentSince Apr 25, 2025 Accepting new patients
Lake Tahoe Orthopaedic Institute, a Watson-Swanson Professional Corp Occupational Therapist CurrentSince Nov 1, 2004 Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients
Barton Healthcare System Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients

Locations

1139 3rd St
South Lake Tahoe, CA 96150
Phone (530) 541-3100

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

2170 South Ave
Ste B
South Lake Tahoe, CA 96150
Phone (530) 539-6600

2170 South Ave
#B
South Lake Tahoe, CA 96150
Phone (530) 539-6620

2170 South Ave
Bldg B
South Lake Tahoe, CA 96150

935 Mica Dr
Ste 13
Carson City, NV 89705
Phone (775) 783-3065

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073654307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9578",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961589578",
            "telephone_number": "530-543-5896",
            "fax_number": "530-544-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 SOUTH AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507026",
            "telephone_number": "530-543-5896",
            "fax_number": "530-544-6512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Highway 50 Fl 2",
            "address_purpose": "LOCATION",
            "city": "Stateline",
            "state": "NV",
            "postal_code": "894499816",
            "country_code": "US",
            "telephone_number": "775-589-8953",
            "fax_number": "775-589-8920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 Mica Dr",
            "address_2": "Ste 13",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897057268",
            "country_code": "US",
            "telephone_number": "775-783-3065",
            "fax_number": "775-267-1829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1139 3rd St",
            "address_purpose": "LOCATION",
            "city": "South Lake Tahoe",
            "state": "CA",
            "postal_code": "961503465",
            "country_code": "US",
            "telephone_number": "530-543-5706",
            "fax_number": "530-541-4130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLUITT",
        "first_name": "ANGELA",
        "middle_name": "KAY",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "0035",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "6598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "FLUITT",
            "middle_name": "KOCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.