Angelica Briones
Individual provider Active NPI Occupational Therapist · Ottawa, IL
NPI 1194583641 · NPPES record last updated Mar 11, 2024
Key facts
- NPI
- 1194583641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 056.015862 (IL)
- Practice address
- 1100 E Norris Dr
Ottawa, IL 61350-1604 - Phone
- (815) 433-3100
- NPI assigned
- Mar 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 056.015862 | IL | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.015862 | IL | Yes |
Addresses
Primary practice location
1100 E Norris Dr
Ottawa, IL 61350-1604
Mailing address
1418 Sioux Dr
Ottawa, IL 61350-4652
Other providers in Ottawa, IL
- Donnette Anitra Brass
- Natalie Brauweiler
- Christopher Brewer
- Garth I Brewer
- Brightside Recovery LTD
- Misael S Briones
- Brittany M Jones DPM LLC
- Yulandist Jeannie Brown
- Carol Ruth Buckner
- Doris Burke
All providers in Ottawa, IL · Occupational Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2024. 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.