Individual provider Active NPI

Angela M Koebe, COTA

  • Occupational Therapy Assistant
  • Green Bay, WI
National Provider Identifier
1124188560
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
1899-027 Issued in WI
Practice address
2900 Curry LN
New Curative Rehabilitaion, Inc.
Green Bay, WI 54311-5857
Phone
(920) 468-1161
Fax
(920) 965-2653
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1899-027 WI Primary

Addresses

Primary practice location

2900 Curry LN
New Curative Rehabilitaion, Inc.
Green Bay, WI 54311-5857

Mailing address

1326 Crooks St
Green Bay, WI 54301-3821
Phone (920) 436-9059

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
1899-027WIMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124188560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 CROOKS ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013821",
            "telephone_number": "920-436-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CURRY LN",
            "address_2": "NEW CURATIVE REHABILITAION, INC.",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115857",
            "telephone_number": "920-468-1161",
            "fax_number": "920-965-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEBE",
        "first_name": "ANGELA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "1899-027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.