Active NPI
Candace Angle, OT
- Occupational Therapist
- Woburn, MA
National Provider Identifier
1104094861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3822
- Practice address
- 400 W Cummings Park
Woburn, MA 01801-6519 - Phone
- (781) 933-8800
- NPI assigned
- Feb 15, 2008
- 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 | 3822 | MA | Primary |
Addresses
Primary practice location
400 W Cummings Park
Woburn, MA 01801-6519
Mailing address
200 Burkhall St
# 409
Weymouth, MA 02190-3536
Phone (781) 340-6547
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 |
|---|---|---|---|
| 3822 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203292800000",
"number": "1104094861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BURKHALL ST",
"address_2": "# 409",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021903536",
"telephone_number": "781-340-6547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W CUMMINGS PARK",
"city": "WOBURN",
"state": "MA",
"postal_code": "018016519",
"telephone_number": "781-933-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGLE",
"first_name": "CANDACE",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-15",
"last_updated": "2008-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "3822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.