Active NPI
Angela Permisohn
- Occupational Therapist
- Baltimore, MD
National Provider Identifier
1174841944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 04898
- Practice address
- 1531 S Edgewood St
Baltimore, MD 21227-1066 - Phone
- (866) 869-8661
- NPI assigned
- May 4, 2010
- 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 | 04898 | MD | Primary |
Addresses
Primary practice location
1531 S Edgewood St
Baltimore, MD 21227-1066
Mailing address
722 S Cherry Grove Ave
Apt. 201
Annapolis, MD 21401-4269
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 |
|---|---|---|---|
| 04898 | MD | MD | Intellectual & Developmental Disabilities Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272931200000",
"number": "1174841944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "722 S CHERRY GROVE AVE",
"address_2": "APT. 201",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214014269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1531 S EDGEWOOD ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212271066",
"telephone_number": "866-869-8661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERMISOHN",
"first_name": "ANGELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-04",
"last_updated": "2010-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "04898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.