Active NPI
Angela Kay Fluitt, OTR/L, CHT
- Occupational Therapist
- South Lake Tahoe, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6598
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
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
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 100
- Quality
- 89.85
- Promoting interoperability
- 94.05
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6598 | CA | MD | Occupational Therapist |
| 0035 | NV | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Tahoe Orthopaedic Institute a Watson-Swanson Professional Corp | Current | Accepting new patients | |
| Barton Medical Foundation | Current | Accepting new patients | |
| Lake Tahoe Orthopaedic Institute, a Watson-Swanson Professional Corp | Occupational Therapist | Current | 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.
-
- Orthopaedic Surgery Physician
- Zephyr Cove, NV
- NPI 1609937911
Occupational Therapist
-
- Durable Medical Equipment & Medical Supplies
- Carson City, NV
- NPI 1619126240
-
- Rural Health Clinic/Center
- Stateline, NV
- NPI 1588598536
-
- Critical Access Hospital
- Hawthorne, NV
- NPI 1801844527
-
- General Acute Care Hospital
- Reno, NV
- NPI 1801152566
-
- Physical Therapist
- Yerington, NV
- NPI 1407815194
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1548250582
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.