Active NPI
Angela J Tucker, OTR/L
- Gerontology Occupational Therapist
- Rindge, NH
National Provider Identifier
1457695348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- 1812
- Practice address
- 21 Hubbard Hill Rd
Rindge, NH 03461 - Phone
- (603) 762-0921
- NPI assigned
- Nov 16, 2012
- Last updated
- Apr 21, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | 1812 | NH | Primary |
| Peer Specialist | 175T00000X | 8159 | MA |
Addresses
Primary practice location
21 Hubbard Hill Rd
Rindge, NH 03461
Mailing address
10 Southville Rd
Southborough, MA 01772-4029
Phone (978) 223-1278
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 |
|---|---|---|---|
| 1812 | NH | MD | Clinical Social Worker |
| 8159 | MA | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1457695348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 SOUTHVILLE RD",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "017724029",
"telephone_number": "978-223-1278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 HUBBARD HILL RD",
"city": "RINDGE",
"state": "NH",
"postal_code": "03461",
"telephone_number": "603-762-0921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "ANGELA",
"middle_name": "J",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-16",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "NH",
"license": "1812",
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "MA",
"license": "8159",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rindge, NH
- Rejuvenate Health Spa
- Kevin Robert Simmons, R.PH.
- Meggan St Jean
- Pamela Silvana Teperino
- Brenda Thonis, NCC, M. A.
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2057)
- Diane Wayman, LNA
- White Mountain Chiropractic and Rehabilitation PLLC
- Zellweger Family Chiropractic PLLC
- Heather Michelle Zellweger, D.C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.