Active NPI
Amber Nichole D'Angelo, OTR
- Occupational Therapist
- Palm Harbor, FL
National Provider Identifier
1093355489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 20474
- Practice address
- 3488 E Lake Rd Ste 302
Palm Harbor, FL 34685-2404 - Phone
- (727) 786-1996
- NPI assigned
- Jan 14, 2020
- 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 | 20474 | FL | Primary |
Addresses
Primary practice location
3488 E Lake Rd Ste 302
Palm Harbor, FL 34685-2404
Mailing address
10438 Springrose Dr
Tampa, FL 33626-2602
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 |
|---|---|---|---|
| 20474 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics SPT Inc | Occupational Therapist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1093355489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10438 SPRINGROSE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336262602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3488 E LAKE RD STE 302",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346852404",
"telephone_number": "727-786-1996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'ANGELO",
"first_name": "AMBER",
"middle_name": "NICHOLE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-14",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "20474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.