Individual provider Active NPI

Angela Johnson Mursener-Gonzales, MOT, OTR

  • Occupational Therapist
  • American Fork, UT
National Provider Identifier
1255713681
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
915 S 500 E
Suite 101
American Fork, UT 84003-3357
Phone
(801) 692-6830
NPI assigned
Jun 22, 2015
Last updated
Jun 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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 UT Primary

Addresses

Primary practice location

915 S 500 E
Suite 101
American Fork, UT 84003-3357

Mailing address

915 S 500 E
Suite 101
American Fork, UT 84003-3357
Phone (801) 692-6830

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

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1255713681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 S 500 E",
            "address_2": "SUITE 101",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033357",
            "telephone_number": "801-692-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 S 500 E",
            "address_2": "SUITE 101",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033357",
            "telephone_number": "801-692-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURSENER-GONZALES",
        "first_name": "ANGELA",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "MOT, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.