Individual provider Active NPI

Angela Husek, OTR

  • Occupational Therapist
  • Chagrin Falls, OH
National Provider Identifier
1144624461
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 004935 Issued in OH
Practice address
200 Hamlet Hills Dr
Chagrin Falls, OH 44022-2870
Phone
(440) 600-7688
Fax
(440) 328-8421
NPI assigned
Oct 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 004935 OH Primary

Addresses

Primary practice location

200 Hamlet Hills Dr
Chagrin Falls, OH 44022-2870

Mailing address

7960 Center St
Mentor, OH 44060-7863

Other names 1

  • Angela Monreal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230309000453 OH Practitioner - Occupational Therapist in Private Practice 5294108460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

8100 Washington St
Chagrin Falls, OH 44023-4506
Phone (440) 384-3358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT 004935OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Dec 3, 2022 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Dec 3, 2022 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

8100 Washington St
Chagrin Falls, OH 44023
Phone (440) 384-3358

Organizations & group practices 2

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": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1144624461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 CENTER ST",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440607863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAMLET HILLS DR",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440222870",
            "telephone_number": "440-600-7688",
            "fax_number": "440-328-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSEK",
        "first_name": "ANGELA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT 004935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "MONREAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.