Individual provider Active NPI

Mackangelo Devy, OTR/L

  • Hand Occupational Therapist
  • Boynton Beach, FL
National Provider Identifier
1669158242
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
24330 Issued in FL
Practice address
8190 S Jog Rd Ste 100
Boynton Beach, FL 33472-2911
Phone
(561) 731-5999
NPI assigned
Jun 27, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 24330 FL Primary

Addresses

Primary practice location

8190 S Jog Rd Ste 100
Boynton Beach, FL 33472-2911

Mailing address

11310 NW 1St CT
Coral Springs, FL 33071-8174
Phone (954) 592-3163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230901000323 FL Practitioner - Occupational Therapist in Private Practice 4587027966 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RWW Senior Living Outpatient Rehab Services, LLC CurrentSince Oct 13, 2025 Accepting new patients
RWW Senior Living Outpatient Rehab Services, LLC CurrentSince Oct 13, 2025 Accepting new patients
Rehab in Motion, LLC Past Accepting new patients

Locations

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1669158242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11310 NW 1ST CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718174",
            "telephone_number": "954-592-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8190 S JOG RD STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722911",
            "telephone_number": "561-731-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVY",
        "first_name": "MACKANGELO",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "24330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.