Active NPI
Angela Hands, PTA
- Physical Therapy Assistant
- Lafayette, IN
National Provider Identifier
1568998615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 06003109A
- Practice address
- 909 Sagamore Pkwy W Ste 917
Lafayette, IN 47906-1443 - Phone
- (765) 463-0710
- Fax
- (765) 463-0711
- NPI assigned
- May 11, 2017
- 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 Therapy Assistant | 225200000X | 06003109A | IN | Primary |
Addresses
Primary practice location
909 Sagamore Pkwy W Ste 917
Lafayette, IN 47906-1443
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
1260 North 17th Street
Lafayette, IN 47904
Phone (765) 423-6885
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 |
|---|---|---|---|
| 06003109A | IN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1568998615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 SAGAMORE PKWY W STE 917",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479061443",
"telephone_number": "765-463-0710",
"fax_number": "765-463-0711"
}
],
"practiceLocations": [
{
"address_1": "1260 North 17th Street",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "47904",
"country_code": "US",
"telephone_number": "765-423-6885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANDS",
"first_name": "ANGELA",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IN",
"license": "06003109A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.