Angela Marie Box, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4150 Issued in AZ

Practice address

400 Pearman Dairy Rd
Anderson, SC 29625-3100

Phone

(864) 260-5000

NPI assigned

Feb 20, 2007

Last updated

Mar 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Angela Marie Goeckner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Anderson School District Five

  • Local Education Agency (LEA)
  • Anderson, SC
  • NPI 1225903206
  NPD
• Anderson School District Five

  • School Counselor
  • Anderson, SC
  • NPI 1912970674
  NPD (past)
• Mealtime Connections, LLC

  • Specialist
  • Tucson, AZ
  • NPI 1912035742

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1235274937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 HIGHWAY 153 # 334",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296117553",
            "telephone_number": "662-816-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PEARMAN DAIRY RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296253100",
            "telephone_number": "864-260-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOX",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "5525",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "4150",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "2005028244",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056008219",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355290",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "477584809",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "GOECKNER",
            "middle_name": "MARIE",
            "credential": "MOTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Derek Paul Bornhorst
• Kathryn A. Bostater, O.T.
• Renee Bostick, LMSW
• Andrea Boucher
• Mary Boucher
• Annie Kellner Boyd, PT
• Hannah Boyd, LMSW
• Maston Wade Boyd III, DMD
• Travis Boyd, PT, DPT
• Elizabeth P Boyer, MD

• Occupational Therapist in Anderson, SC
• Providers in Anderson, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.