Active NPI
Angela Marie Hubbard, OTR
- Occupational Therapist
- Liberty TWP, OH
National Provider Identifier
1083772784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-3787
- Practice address
- 5359 Aspen Valley Dr
Liberty TWP, OH 45011-5930 - Phone
- (513) 759-4717
- Fax
- (513) 759-0641
- NPI assigned
- Dec 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-003787 | OH | |
| Occupational Therapist | 225X00000X | OT-3787 | OH | Primary |
Addresses
Primary practice location
5359 Aspen Valley Dr
Liberty TWP, OH 45011-5930
Mailing address
5359 Aspen Valley Dr
Liberty TWP, OH 45011-5930
Phone (513) 479-3878
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 |
|---|---|---|---|
| OT-003787 | OH | MD | Occupational Therapist |
| OT-3787 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516579200000",
"number": "1083772784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5359 ASPEN VALLEY DR",
"city": "LIBERTY TWP",
"state": "OH",
"postal_code": "450115930",
"telephone_number": "513-479-3878",
"fax_number": "513-759-0641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5359 ASPEN VALLEY DR",
"city": "LIBERTY TWP",
"state": "OH",
"postal_code": "450115930",
"telephone_number": "513-759-4717",
"fax_number": "513-759-0641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "ANGELA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2018-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT-003787",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT-3787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty TWP, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.