Active NPI
Angela Marie Pare, OTR/L
- Occupational Therapist
- Palmetto, FL
National Provider Identifier
1295486462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT22319
- Practice address
- 410 10TH Ave W
Palmetto, FL 34221-5032 - Phone
- (941) 722-3582
- NPI assigned
- Jan 10, 2022
- Last updated
- Jan 23, 2023
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT22319 | FL | Primary |
Addresses
Primary practice location
410 10TH Ave W
Palmetto, FL 34221-5032
Mailing address
10914 Blue Magnolia LN
Parrish, FL 34219-2911
Phone (847) 961-0218
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT22319 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1295486462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10914 BLUE MAGNOLIA LN",
"city": "PARRISH",
"state": "FL",
"postal_code": "342192911",
"telephone_number": "847-961-0218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 10TH AVE W",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342215032",
"telephone_number": "941-722-3582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARE",
"first_name": "ANGELA",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-10",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT22319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmetto, FL
- Palmetto Primary Care Associates, LLC
- Palmetto Spine Auto Injury & Performance Institute
- Palmetto Spine Auto Injury & Performance Institute, LLC
- Palmetto Urgent Care, LLC
- Warren A. Paquin, O.D.
- Snehal V Parikh, M.D.
- Johnathan Carl Parks, DMD
- D'Iris Parrimon, PHARM D
- Levi Parsons
- Sindy Robin Passalacqua, O.T.R./L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.