Active NPI
Angela Ryan
- Occupational Therapist
- Charlotte, NC
National Provider Identifier
1215060124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3631
- Practice address
- 704 Louise Ave
Charlotte, NC 28204-2128 - Phone
- (704) 644-4292
- NPI assigned
- Mar 13, 2007
- Last updated
- Mar 2, 2009
- 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 | 3631 | NC | Primary |
Addresses
Primary practice location
704 Louise Ave
Charlotte, NC 28204-2128
Mailing address
20109 Norman Colony Rd
Cornelius, NC 28031-7146
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 |
|---|---|---|---|
| 3631 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Services, Inc. | Occupational Therapist | Past | Accepting new patients |
| Carolinas Cognitive Care, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Therapist
- Boone, NC
- NPI 1992851356
-
- Occupational Therapist
- Boone, NC
- NPI 1518988617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235952000000",
"number": "1215060124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20109 NORMAN COLONY RD",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280317146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 LOUISE AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042128",
"telephone_number": "704-644-4292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "ANGELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2009-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "3631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.