Active NPI
Brandy Lee Angelo, P.T.
- Physical Therapist
- Cincinnati, OH
National Provider Identifier
1174648968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 011346
- Practice address
- 2454 Kipling Avenue
Cincinnati, OH 45239 - Phone
- (513) 853-3353
- Fax
- (513) 853-3350
- NPI assigned
- Mar 20, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 011346 | OH | Primary |
Addresses
Primary practice location
2454 Kipling Avenue
Cincinnati, OH 45239
Mailing address
3161 Goda Ave
Cincinnati, OH 45211-2611
Phone (513) 853-3353
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 011346 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Cincinnati, LLC | Past | Accepting new patients | |
| Freiberg Orthopaedics & Sports Medicine | Past | Accepting new patients | |
| Ohio Heart and Vascular Center, Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174648968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3161 GODA AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452112611",
"telephone_number": "513-853-3353",
"fax_number": "513-853-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2454 KIPLING AVENUE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45239",
"telephone_number": "513-853-3353",
"fax_number": "513-853-3350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELO",
"first_name": "BRANDY",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT 011346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
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.