Active NPI
Angela Denise Sefcovic, MS, OTRL
- Pediatric Occupational Therapist
- Glen Burnie, MD
National Provider Identifier
1255475000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 05744
- Practice address
- 200 Scott Ave
Glen Burnie, MD 21060-7760 - Phone
- (410) 222-6942
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 05744 | MD | Primary |
Addresses
Primary practice location
200 Scott Ave
Glen Burnie, MD 21060-7760
Mailing address
811 Herring Creek CT
Odenton, MD 21113-4018
Phone (301) 912-3249
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05744 | MD | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255475000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 HERRING CREEK CT",
"city": "ODENTON",
"state": "MD",
"postal_code": "211134018",
"telephone_number": "301-912-3249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SCOTT AVE",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210607760",
"telephone_number": "410-222-6942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEFCOVIC",
"first_name": "ANGELA",
"middle_name": "DENISE",
"name_prefix": "Miss",
"credential": "MS, OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MD",
"license": "05744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
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.