Individual provider Active NPI

Angela Marie Kochobay, OTR/L

  • Pediatric Occupational Therapist
  • Waxhaw, NC
National Provider Identifier
1114465424
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
11444 Issued in NC
Practice address
5705 Carter Woods CT
Waxhaw, NC 28173-6974
Phone
(267) 730-9411
Fax
(803) 728-3291
NPI assigned
Feb 7, 2017
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 5283 SC
Pediatric Occupational Therapist 225XP0200X 11444 NC Primary

Addresses

Primary practice location

5705 Carter Woods CT
Waxhaw, NC 28173-6974

Mailing address

5705 Carter Woods CT
Waxhaw, NC 28173-6974
Phone (267) 730-9411

Other practice location 1

2045 Cramer Cir Apt 104
Indian Land, SC 29707-7863
Phone (267) 730-9411

Other identifiers 2

IdentifierTypeStateIssuer
GP8975MedicaidSC
14171387MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 8037283291

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

LicenseStateTypeSpecialty
5283SCMDSocial Worker
11444NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sensory 8 Pediatric Therapy, LLC Occupational Therapist CurrentSince May 10, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1114465424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 CARTER WOODS CT",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736974",
            "telephone_number": "267-730-9411",
            "fax_number": "803-728-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 CARTER WOODS CT",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736974",
            "telephone_number": "267-730-9411",
            "fax_number": "803-728-3291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2045 Cramer Cir Apt 104",
            "address_purpose": "LOCATION",
            "city": "Indian Land",
            "state": "SC",
            "postal_code": "297077863",
            "country_code": "US",
            "telephone_number": "267-730-9411",
            "fax_number": "803-728-3291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOCHOBAY",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "5283",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "11444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP8975",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14171387",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8037283291",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "5705 Carter Woods Ct",
            "city": "Waxhaw",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281736974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.