Active NPI
Angela Raylynne Porta, OTRL
- Occupational Therapist
- Owosso, MI
National Provider Identifier
1083913628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201007653
- Practice address
- 1555 Industrial Dr
Owosso, MI 48867-9775 - Phone
- (989) 506-1109
- NPI assigned
- Mar 22, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201007653 | MI | Primary |
Addresses
Primary practice location
1555 Industrial Dr
Owosso, MI 48867-9775
Mailing address
611 Walnut St
Corunna, MI 48817-1001
Phone (989) 506-1109
Other names 1
- Angela Seeley
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1083913628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 WALNUT ST",
"city": "CORUNNA",
"state": "MI",
"postal_code": "488171001",
"telephone_number": "989-506-1109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 INDUSTRIAL DR",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488679775",
"telephone_number": "989-506-1109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTA",
"first_name": "ANGELA",
"middle_name": "RAYLYNNE",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-22",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201007653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "SEELEY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Owosso, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.