Angela Comstock

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

002005 Issued in MO

Legal business name

ANGELA COMSTOCK

Practice address

1521 S Highview Ave
Joplin, MO 64804-1242

Phone

(417) 540-2756

Fax

(877) 423-3650

NPI assigned

Sep 30, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Angela Cecile Comstock, OTR/L, BCIA-CNPI 1013904762

Title

Owner/Therapist

Phone

(417) 540-2756

Specialties & licenses 2

Addresses

Other names 1

• Mind Body Health Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Cecile Comstock, OTR

  • Occupational Therapist
  • Joplin, MO
  • NPI 1013904762
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1215924717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 S HIGHVIEW AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041242",
            "telephone_number": "417-540-2756",
            "fax_number": "877-423-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 S HIGHVIEW AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041242",
            "telephone_number": "417-540-2756",
            "fax_number": "877-423-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA COMSTOCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "COMSTOCK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "CECILE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "417-540-2756",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L, BCIA-C"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "002005",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "OT 260",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Body Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ethan Danny Anderson
• Amanda Andrade, DO
• Christopher R Andrew, MD
• Tamara Leigh Andrew, MS, LPC
• Anesthesia Associates of Joplin LLC
• Jennifer Anger, P.T.
• Amir Anis
• Anissa Long Dba a Pleasant Day Adult Day Center
• Michael Barry Anreder, M.D.
• Holly Leann Ansley, RN

• Occupational Therapist in Joplin, MO
• Providers in Joplin, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.