Active NPI
Angela Lynn John, OTR/L
- Occupational Therapist
- Burke, VA
National Provider Identifier
1497255475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119002636
- Practice address
- 10711 Spring Oak CT
Burke, VA 22015-2246 - Phone
- (571) 455-4508
- NPI assigned
- Feb 16, 2018
- Last updated
- Feb 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119002636 | VA | Primary |
Addresses
Primary practice location
10711 Spring Oak CT
Burke, VA 22015-2246
Mailing address
10711 Spring Oak CT
Burke, VA 22015-2246
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518739200000",
"number": "1497255475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10711 SPRING OAK CT",
"city": "BURKE",
"state": "VA",
"postal_code": "220152246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10711 SPRING OAK CT",
"city": "BURKE",
"state": "VA",
"postal_code": "220152246",
"telephone_number": "571-455-4508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "ANGELA",
"middle_name": "LYNN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-16",
"last_updated": "2018-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119002636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burke, VA
- Jeffrey I. Klioze, D.D.S., LTD
- Donna Faye Jennings, PA-C
- Jessica Russo Revand, DMD, Ms, PLLC (Russo Endodontics)
- Kirti Johal, M.D.
- John-Mike Nelson, PLLC (Virginia Counseling Services)
- Elizabeth Johnson, PT, DPT
- Lina Ann Johnson, D.D.S.
- Nancy E Johnson, CRNP
- Gwendolyn Faye Jones, DDS
- V. Leialoha Jones, CPNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.