Active NPI
Angelo Cruz
- Physical Rehabilitation Occupational Therapist
- Fort Myers, FL
National Provider Identifier
1215818992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- OT19507
- Practice address
- 17165 Losillas Cir Unit 1012
Fort Myers, FL 33913-9561 - Phone
- (201) 779-0234
- NPI assigned
- Sep 10, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OT19507 | FL | Primary |
Addresses
Primary practice location
17165 Losillas Cir Unit 1012
Fort Myers, FL 33913-9561
Mailing address
17165 Losillas Cir Unit 1012
Fort Myers, FL 33913-9561
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 |
|---|---|---|---|
| OT19507 | FL | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1215818992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17165 LOSILLAS CIR UNIT 1012",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339139561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17165 LOSILLAS CIR UNIT 1012",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339139561",
"telephone_number": "201-779-0234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "ANGELO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-10",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "FL",
"license": "OT19507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.