Individual provider Active NPI

Melissa Angleberger, COTA/L

  • Occupational Therapy Assistant
  • Frederick, MD
National Provider Identifier
1568936375
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
A02315 Issued in MD
Practice address
1920 Rosemont Ave
Frederick, MD 21702-8249
Phone
(240) 772-9200
NPI assigned
Jan 15, 2019
Last updated
Nov 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X A02315 MD Primary

Addresses

Primary practice location

1920 Rosemont Ave
Frederick, MD 21702-8249

Mailing address

9229 Gravel Hill Rd
Woodsboro, MD 21798-8817
Phone (301) 639-4012

Other practice location 1

7407 Willow Rd
Frederick, MD 21702-2500
Phone (301) 644-5600

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
A02315MDMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Way to Grow, LLC PastSince Nov 1, 2019 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": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1568936375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 GRAVEL HILL RD",
            "city": "WOODSBORO",
            "state": "MD",
            "postal_code": "217988817",
            "telephone_number": "301-639-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 ROSEMONT AVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217028249",
            "telephone_number": "240-772-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7407 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217022500",
            "country_code": "US",
            "telephone_number": "301-644-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGLEBERGER",
        "first_name": "MELISSA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MD",
            "license": "A02315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.