Individual provider Active NPI

Angela Harter

  • Occupational Therapist
  • Soldotna, AK
National Provider Identifier
1396071783
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
179225 Issued in AK
Practice address
35249 Kenai Spur Hwy
Unit C
Soldotna, AK 99669-7673
Phone
(074) 200-8369
NPI assigned
Oct 20, 2009
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 179225 AK Primary

Addresses

Primary practice location

35249 Kenai Spur Hwy
Unit C
Soldotna, AK 99669-7673

Mailing address

35249 Kenai Spur Hwy
Unit C
Soldotna, AK 99669-7673
Phone (907) 420-0836

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Physical Therapy, Inc. CurrentSince Jul 6, 2023 Accepting new patients
Borealis Chiropractic Inc CurrentSince Jun 22, 2023 Accepting new patients
Revolution Sport & Spine Therapy LLC CurrentSince Jun 22, 2023 Accepting new patients

Locations

601 E Pioneer Ave
Ste 218
Homer, AK 99603
Phone (907) 235-7473

35249 Kenai Spur Hwy
Ste C
Soldotna, AK 99669
Phone (907) 420-0836

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1396071783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35249 KENAI SPUR HWY",
            "address_2": "UNIT C",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697673",
            "telephone_number": "907-420-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35249 KENAI SPUR HWY",
            "address_2": "UNIT C",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697673",
            "telephone_number": "074-200-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTER",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "179225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.