Active NPI
Angela Beth Sewell
- Physical Medicine & Rehabilitation Physician
- Oklahoma City, OK
National Provider Identifier
1427703495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 1092
- Practice address
- 4100 S Douglas Ave
Oklahoma City, OK 73109-3210 - Phone
- (405) 644-5182
- NPI assigned
- Feb 17, 2022
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 1092 | OK | Primary |
Addresses
Primary practice location
4100 S Douglas Ave
Oklahoma City, OK 73109-3210
Mailing address
2809 Winding Creek LN NE
Piedmont, OK 73078-9132
Phone (058) 238-6994
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 |
|---|---|---|---|
| 1092 | OK | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1427703495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2809 WINDING CREEK LN NE",
"city": "PIEDMONT",
"state": "OK",
"postal_code": "730789132",
"telephone_number": "058-238-6994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 S DOUGLAS AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093210",
"telephone_number": "405-644-5182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEWELL",
"first_name": "ANGELA",
"middle_name": "BETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-17",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OK",
"license": "1092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.