Angela Kathleen O'Toole, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012733 Issued in MI

Practice address

1201 Stone St
Ste 8
Port Huron, MI 48060-3563

Phone

(810) 989-0000

Fax

(810) 989-5266

NPI assigned

Mar 28, 2006

Last updated

Oct 23, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Marwan Shuayto MD PC

  dba Blue Water Open MRI

  • Neurology Physician
  • Port Huron, MI
  • NPI 1578819850
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1659331023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2936 CASTOR RD",
            "city": "WALES",
            "state": "MI",
            "postal_code": "480271505",
            "telephone_number": "810-531-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 STONE ST",
            "address_2": "STE 8",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603563",
            "telephone_number": "810-989-0000",
            "fax_number": "810-989-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'TOOLE",
        "first_name": "ANGELA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Alice Nowak, LMSW
• Tochukwu Nwosa, MD
• Deborah Beth O'Brien
• Sara O'Donnell
• Lori L O'Hare, LBSW
• Daniel Ochoa
• Richard Edmund Odgers, DDS
• Carrie Anne Oosterveen
• Orthopedic Associates of Port Huron PC
• Orthopedic Associates of Port Huron PC

• Physical Therapist in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.