Active NPI
Angela Goss
- Occupational Therapist
- Plymouth Meeting, PA
National Provider Identifier
1346465044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC005396L
- Practice address
- Kencrest Services
502 West Germantown Pike, Suite 200
Plymouth Meeting, PA 19462 - Phone
- (610) 825-9360
- NPI assigned
- Apr 16, 2007
- 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 | OC005396L | PA | Primary |
Addresses
Primary practice location
Kencrest Services
502 West Germantown Pike, Suite 200
Plymouth Meeting, PA 19462
Mailing address
Kencrest Services
502 West Germantown Pike, Suite 200
Plymouth Meeting, PA 19462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019356180002 | Other | PA | MA |
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 |
|---|---|---|---|
| OC005396L | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346465044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "KENCREST SERVICES",
"address_2": "502 WEST GERMANTOWN PIKE, SUITE 200",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "19462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KENCREST SERVICES",
"address_2": "502 WEST GERMANTOWN PIKE, SUITE 200",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "19462",
"telephone_number": "610-825-9360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSS",
"first_name": "ANGELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC005396L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA",
"identifier": "0019356180002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plymouth Meeting, PA
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.