William Gerald Angle, OT
Individual provider Active NPI Occupational Therapist · Racine, WI
NPI 1073700522 · NPPES record last updated Oct 9, 2013
Key facts
- NPI
- 1073700522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 3845-026 (WI)
- Practice address
- 6101 16TH St
Racine, WI 53406-4467 - Phone
- (262) 898-2770
- NPI assigned
- Sep 28, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056006744 | IL | MD | Occupational Therapist |
| 3845-026 | WI | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3845-026 | WI | Yes |
| Occupational Therapist | 225X00000X | 056006744 | IL |
Addresses
Primary practice location
6101 16TH St
Racine, WI 53406-4467
Mailing address
4848 Riverside Rd
Waterford, WI 53185-3328
Phone (414) 550-1810
Other providers in Racine, WI
- Andrew I Solomon DC SC
- Aneu Beginning LLC.
- Linda Marie Angel
- Angela Martin Psychotherapy, LLC
- Angels of Love LLC
- Michael Ansani
- Paul Byron Anthony
- Cristina Aponte
- Apricot Solutions Incorporated
- Natali Aranda
All providers in Racine, WI · Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.