Active NPI
Robert D Angle, PT
- Physical Therapist
- Lancaster, OH
National Provider Identifier
1265582332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT04611
- Practice address
- 2405 N Columbus St
Suite 140
Lancaster, OH 43130-8185 - Phone
- (740) 687-5025
- Fax
- (740) 687-4570
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT04611 | OH | Primary |
Addresses
Primary practice location
2405 N Columbus St
Suite 140
Lancaster, OH 43130-8185
Mailing address
11331 Walnut Hill Rd
Glouster, OH 45732-9632
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT04611 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265582332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11331 WALNUT HILL RD",
"city": "GLOUSTER",
"state": "OH",
"postal_code": "457329632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 N COLUMBUS ST",
"address_2": "SUITE 140",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431308185",
"telephone_number": "740-687-5025",
"fax_number": "740-687-4570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGLE",
"first_name": "ROBERT",
"middle_name": "D",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT04611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, OH
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.