Angela Cline
Individual provider Active NPI Occupational Therapist · Ingram, TX
NPI 1194238469 · NPPES record last updated Dec 17, 2020
Key facts
- NPI
- 1194238469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 112329 (TX)
- Practice address
- 322 Red Oak LN
Ingram, TX 78025-3618 - Phone
- (512) 496-8445
- NPI assigned
- Nov 9, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112329 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverkids Houston Therapy, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-14-9778 | TX | |
| Occupational Therapist | 225X00000X | 112329 | TX | Yes |
Addresses
Primary practice location
322 Red Oak LN
Ingram, TX 78025-3618
Mailing address
322 Red Oak LN
Ingram, TX 78025
Phone (512) 496-8445
Other providers in Ingram, TX
- Robyn Sybil Adkins
- Blue Heron Counseling LLC
- Tonya Leigh Carson
- Constance Cason
- Carly Cearley
- Justin Hamilton
- Helping Hands of Mother Teresa
- Ingram Independent School District
- Erin Nicole Ingram
- Amy F Keen
All providers in Ingram, TX · Occupational Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.