Active NPI
Sara Catherine De Angelis, OTR
- Occupational Therapist
- Pleasant Prairie, WI
National Provider Identifier
1144497934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4584-026
- Practice address
- 10330 Prairie Ridge Blvd
Pleasant Prairie, WI 53158-1947 - Phone
- (262) 612-2855
- Fax
- (262) 612-2893
- NPI assigned
- May 12, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 4584-026 | WI | Primary |
Addresses
Primary practice location
10330 Prairie Ridge Blvd
Pleasant Prairie, WI 53158-1947
Mailing address
3829 8TH Ave
Kenosha, WI 53140-5536
Phone (414) 305-9069
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 |
|---|---|---|---|
| 4584-026 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1144497934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3829 8TH AVE",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531405536",
"telephone_number": "414-305-9069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10330 PRAIRIE RIDGE BLVD",
"city": "PLEASANT PRAIRIE",
"state": "WI",
"postal_code": "531581947",
"telephone_number": "262-612-2855",
"fax_number": "262-612-2893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE ANGELIS",
"first_name": "SARA",
"middle_name": "CATHERINE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-12",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4584-026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Prairie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.