Active NPI
Angela Custer, OTR
- Occupational Therapist
- Edmond, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5917
- Practice address
- 14715 Bristol Park Blvd
Edmond, OK 73013-1894 - Phone
- (405) 840-1686
- NPI assigned
- Apr 16, 2018
- Last updated
- May 2, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5917 | OK | Primary |
| Occupational Therapist | 225X00000X | 117790 | TX |
Addresses
Primary practice location
14715 Bristol Park Blvd
Edmond, OK 73013-1894
Mailing address
25018 Oakhurst Dr
Spring, TX 77386-2722
Phone (281) 364-9695
Other practice location 1
25018 Oakhurst Dr
Spring, TX 77386-2722
Phone (281) 364-9695
Other practice location 2
6800 NW 39th Expy
Bethany, OK 73008-2513
Phone (405) 789-6711
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 |
|---|---|---|---|
| 5917 | OK | MD | Counselor |
| 117790 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sensational Kids Inc | Current | Accepting new patients | |
| Sensational Kids | Past | Accepting new patients | |
| Pathfinder Pediatrics Home Care, LLC | Past | Accepting new patients |
Locations
14715 Bristol Park Blvd
Edmond, OK 73013
Phone (405) 840-1686
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hearing and Speech Clinic/Center
- Edmond, OK
- NPI 1013696541
-
- Speech-Language Pathologist
- Edmond, OK
- NPI 1003178997
-
dba Care Options for Kids
- Home Health Agency
- Katy, TX
- NPI 1134371651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1194212209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25018 OAKHURST DR",
"city": "SPRING",
"state": "TX",
"postal_code": "773862722",
"telephone_number": "281-364-9695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14715 BRISTOL PARK BLVD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730131894",
"telephone_number": "405-840-1686"
}
],
"practiceLocations": [
{
"address_1": "25018 Oakhurst Dr",
"address_purpose": "LOCATION",
"city": "Spring",
"state": "TX",
"postal_code": "773862722",
"country_code": "US",
"telephone_number": "281-364-9695",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6800 NW 39th Expy",
"address_purpose": "LOCATION",
"city": "Bethany",
"state": "OK",
"postal_code": "730082513",
"country_code": "US",
"telephone_number": "405-789-6711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUSTER",
"first_name": "ANGELA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-16",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "5917",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "117790",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.