Active NPI
Angeline A Tan, OTR
- Occupational Therapist
- Honolulu, HI
National Provider Identifier
1245664929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-811
- Practice address
- 1350 S King St Ste 300
Honolulu, HI 96814-2066 - Phone
- (808) 348-6336
- Fax
- (808) 744-8571
- NPI assigned
- Aug 29, 2013
- 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 | OT-811 | HI | Primary |
Addresses
Primary practice location
1350 S King St Ste 300
Honolulu, HI 96814-2066
Mailing address
1433 Kewalo St Apt 209
Honolulu, HI 96822-4116
Other practice location 1
95-1030 Aliana St
Mililani, HI 96789-6548
Phone (808) 688-1380
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1245664929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1433 KEWALO ST APT 209",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968224116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 S KING ST STE 300",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142066",
"telephone_number": "808-348-6336",
"fax_number": "808-744-8571"
}
],
"practiceLocations": [
{
"address_1": "95-1030 Aliana St",
"address_purpose": "LOCATION",
"city": "Mililani",
"state": "HI",
"postal_code": "967896548",
"country_code": "US",
"telephone_number": "808-688-1380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAN",
"first_name": "ANGELINE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "HI",
"license": "OT-811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.