Individual provider Active NPI

Angela Farb, OT

  • Occupational Therapist
  • Spokane Valley, WA
National Provider Identifier
1215969654
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT00003528 Issued in WA
Practice address
12509 E Mission Ave
Ste. 202
Spokane Valley, WA 99216-1049
Phone
(509) 444-5678
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT00003528 WA Primary

Addresses

Primary practice location

12509 E Mission Ave
Ste. 202
Spokane Valley, WA 99216-1049

Mailing address

12509 E Mission Ave
Ste. 202
Spokane Valley, WA 99216-1049
Phone (509) 444-5678

Other identifiers 1

IdentifierTypeStateIssuer
8339624MedicaidWA

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

LicenseStateTypeSpecialty
3528WAMDGeneral Practice Dentistry
OT00003528WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Rehab Valley Corporation Past Accepting new patients
Summit Rehabilitation Associates, PLLC Occupational Therapist PastSince Aug 1, 2001 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215969654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12509 E MISSION AVE",
            "address_2": "STE. 202",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161049",
            "telephone_number": "509-444-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12509 E MISSION AVE",
            "address_2": "STE. 202",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161049",
            "telephone_number": "509-444-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARB",
        "first_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00003528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8339624",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.