Active NPI
Angela Renee Landsettle, PT 010884
- Physical Therapist
- Marysville, OH
National Provider Identifier
1699759571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 010884
- Practice address
- 211 Stocksdale Dr
Marysville, OH 43040-5507 - Phone
- (937) 644-3311
- Fax
- (937) 644-0373
- NPI assigned
- Dec 3, 2005
- 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 Therapist | 225100000X | PT 010884 | OH | Primary |
Addresses
Primary practice location
211 Stocksdale Dr
Marysville, OH 43040-5507
Mailing address
211 Stocksdale Dr
Marysville, OH 43040-5507
Phone (937) 644-3311
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000372032 | Other | OH | ANTHEM PROVIDER NUMBER |
| 31-1356625 | Other | OH | GREAT WEST HEALTHCARE PRO |
| 311356625030 | Other | OH | CARESOURCE MCO |
| 685840 | Other | OH | UHC |
| 9401895 | Other | OH | PHCS NETWORK |
| 15668 | Other | OH | NATIONWIDE INSURANCE |
| 23-2804807 | Other | OH | REHAB PROVIDER NETWORK |
Other names 1
- Angela Renee Warnock
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 |
|---|---|---|---|
| PT 010884 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1699759571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 STOCKSDALE DR",
"city": "MARYSVILLE",
"state": "OH",
"postal_code": "430405507",
"telephone_number": "937-644-3311",
"fax_number": "937-644-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 STOCKSDALE DR",
"city": "MARYSVILLE",
"state": "OH",
"postal_code": "430405507",
"telephone_number": "937-644-3311",
"fax_number": "937-644-0373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDSETTLE",
"first_name": "ANGELA",
"middle_name": "RENEE",
"credential": "PT 010884",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-03",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT 010884",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000372032",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST HEALTHCARE PRO",
"identifier": "31-1356625",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE MCO",
"identifier": "311356625030",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "685840",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS NETWORK",
"identifier": "9401895",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONWIDE INSURANCE",
"identifier": "15668",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REHAB PROVIDER NETWORK",
"identifier": "23-2804807",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "WARNOCK",
"middle_name": "RENEE",
"credential": "PT 010884",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Marysville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.