Joan Latoga Ancao-Mabale, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00494300 Issued in NJ

Practice address

3412 Inverness Dr
Toms River, NJ 08753-6324

Phone

(973) 412-5916

NPI assigned

Jan 22, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Joan Latoga Ancao Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1366780579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 INVERNESS DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536324",
            "telephone_number": "973-412-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 INVERNESS DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536324",
            "telephone_number": "973-412-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCAO-MABALE",
        "first_name": "JOAN",
        "middle_name": "LATOGA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00494300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "ANCAO",
            "middle_name": "LATOGA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.