Angela Adams
Individual provider Active NPI Occupational Therapist · Peoria, IL
NPI 1124564802 · NPPES record last updated Jan 18, 2017
Key facts
- NPI
- 1124564802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 056009112 (IL)
- Practice address
- 530 NE Glen Oak Ave
Peoria, IL 61637-0001 - Phone
- (309) 655-2381
- NPI assigned
- Jan 18, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056009112 | IL | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056009112 | IL | Yes |
Addresses
Primary practice location
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Mailing address
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone (309) 655-2381
Other providers in Peoria, IL
- Acpm Podiatry Group, LTD
- Action Mobility Inc
- Active Way Healthcare Services, LLC
- Acute Care Surgery Midwest, S.C.
- Kathleen Jane Adair
- Angela N Adams
- Ayla Adams
- Cale Adams
- David Francis Adams
- James Adams
All providers in Peoria, IL · Occupational Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.