Active NPI
Tracy Lynn Angus, OTR/L
- Pediatric Occupational Therapist
- Riverview, FL
National Provider Identifier
1366654261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT11118
- Practice address
- 7243 US Highway 301 S
Riverview, FL 33578-8399 - Phone
- (813) 663-9828
- NPI assigned
- May 4, 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT11118 | FL | Primary |
Addresses
Primary practice location
7243 US Highway 301 S
Riverview, FL 33578-8399
Mailing address
12208 Langshaw Dr
Thonotosassa, FL 33592-2732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022100400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lampert'S Home Therapy, Inc. | Current | Accepting new patients | |
| Jennifer a. Leigh, M.S. CCC-SLP, Inc. | Pediatrics | Past | Accepting new patients |
| Jennifer a. Leigh, M.S. CCC-SLP, Inc. | Past | Accepting new patients |
Locations
8254 118th Ave
Ste 100
Largo, FL 33773
Phone (727) 451-5304
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Largo, FL
- NPI 1265441810
-
- Early Intervention Provider Agency
- Riverview, FL
- NPI 1235709759
-
- Speech-Language Pathologist
- Riverview, FL
- NPI 1427115047
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506643200000",
"number": "1366654261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12208 LANGSHAW DR",
"city": "THONOTOSASSA",
"state": "FL",
"postal_code": "335922732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7243 US HIGHWAY 301 S",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335788399",
"telephone_number": "813-663-9828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGUS",
"first_name": "TRACY",
"middle_name": "LYNN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2017-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT11118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022100400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.