Individual provider Active NPI

Angela Marie Willard, MA CCC/SLP

  • Speech-Language Pathologist
  • Millersburg, OH
National Provider Identifier
1134740947
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.08284 Issued in OH
Practice address
1261 Wooster Rd
Millersburg, OH 44654-1568
Phone
(330) 674-9066
NPI assigned
May 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.08284 OH Primary

Addresses

Primary practice location

1261 Wooster Rd
Millersburg, OH 44654-1568

Mailing address

24 Hillside Dr
Millersburg, OH 44654-1464
Phone (330) 936-3091

Other practice location 1

2637 Tusky Valley Rd NE
Zoarville, OH 44656-9692
Phone (330) 866-0303

Other practice location 2

24 Hillside Dr
Millersburg, OH 44654-1464
Phone (330) 936-3091

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP.08284OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardinal Rehab CurrentSince Jun 8, 2025 Accepting new patients

Locations

2637 Tusky Valley Rd NE
Zoarville, OH 44656
Phone (330) 859-2213

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": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1134740947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HILLSIDE DR",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446541464",
            "telephone_number": "330-936-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 WOOSTER RD",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446541568",
            "telephone_number": "330-674-9066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2637 Tusky Valley Rd NE",
            "address_purpose": "LOCATION",
            "city": "Zoarville",
            "state": "OH",
            "postal_code": "446569692",
            "country_code": "US",
            "telephone_number": "330-866-0303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Hillside Dr",
            "address_purpose": "LOCATION",
            "city": "Millersburg",
            "state": "OH",
            "postal_code": "446541464",
            "country_code": "US",
            "telephone_number": "330-936-3091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "MA CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.08284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.