Active NPI
Angela Leigh Perry, OTR/L
- Occupational Therapist
- Cumming, GA
National Provider Identifier
1073753778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT003871
- Practice address
- 2235 Kitfox Cir
Cumming, GA 30041-7842 - Phone
- (404) 368-3119
- NPI assigned
- Feb 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT003871 | GA | Primary |
Addresses
Primary practice location
2235 Kitfox Cir
Cumming, GA 30041-7842
Mailing address
2235 Kitfox Cir
Cumming, GA 30041-7842
Phone (404) 368-3119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT003871 | Other | GA | OCCUPATIONAL THERAPIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT003871 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sundance Rehabilitation Agency, LLC | Past | Accepting new patients |
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.
-
- Rehabilitation Clinic/Center
- Johns Creek, GA
- NPI 1760437743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1073753778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2235 KITFOX CIR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417842",
"telephone_number": "404-368-3119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2235 KITFOX CIR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417842",
"telephone_number": "404-368-3119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "ANGELA",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-20",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT003871",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPIST",
"identifier": "OT003871",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
- Performance Care Group Inc (Stover Sports Injury & Wellness)
- Daria Perlin
- Michael Perpall, DMD
- Dana Perreault, DPT
- Alexandra Perry, PT
- Grace F Perry, RD, LD
- Personal Recovery Network LLC (Georgia Behavioral Health Professionals)
- Genna Pesce, MSOT, OTR/L
- Barbara Joyce Peters, LPC
- Heather Peters, CPNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.