Active NPI
Angelina Althea Conway, OTR/L
- Occupational Therapist
- Litchfield Park, AZ
National Provider Identifier
1699115352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5280
- Practice address
- 6106 N 133Rd Ave
Litchfield Park, AZ 85340-7310 - Phone
- (517) 294-7275
- NPI assigned
- Jun 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5280 | AZ | Primary |
Addresses
Primary practice location
6106 N 133Rd Ave
Litchfield Park, AZ 85340-7310
Mailing address
6106 N 133Rd Ave
Litchfield Park, AZ 85340-7310
Phone (517) 294-7275
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5280 | AZ | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372204800000",
"number": "1699115352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6106 N 133RD AVE",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853407310",
"telephone_number": "517-294-7275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6106 N 133RD AVE",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853407310",
"telephone_number": "517-294-7275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "ANGELINA",
"middle_name": "ALTHEA",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-26",
"last_updated": "2013-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "5280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Litchfield Park, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.