Individual provider Active NPI

Angela Nevill, OTR/L

  • Pediatric Occupational Therapist
  • Pineville, NC
National Provider Identifier
1528210325
Registry record updated Nov 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
4297 Issued in NC
Practice address
561 N Polk St
Pineville, NC 28134-8563
Phone
(704) 889-7828
Fax
(704) 889-7832
NPI assigned
Oct 13, 2008
Last updated
Nov 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 4297 NC Primary

Addresses

Primary practice location

561 N Polk St
Pineville, NC 28134-8563

Mailing address

561 N Polk St
Pineville, NC 28134-8563
Phone (704) 889-7828

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

LicenseStateTypeSpecialty
4297NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Touchstone Therapy, Inc. Pediatrics Past Accepting new patients

Organizations & group practices 1

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": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227830400000",
    "number": "1528210325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 N POLK ST",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281348563",
            "telephone_number": "704-889-7828",
            "fax_number": "704-889-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 N POLK ST",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281348563",
            "telephone_number": "704-889-7828",
            "fax_number": "704-889-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVILL",
        "first_name": "ANGELA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "4297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2008; 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.