Angela Bussolini, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

015379 Issued in NY

Practice address

150 W 92ND St
#BB
New York, NY 10025-7516

Phone

(212) 595-1705

NPI assigned

Oct 13, 2009

Last updated

Jun 12, 2010By 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 NM

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Rise Speech-Language Pathology Services, LLC

  • Speech-Language Pathologist
  • Santa Fe, NM
  • NPI 1245711662
  Medicare reassignment

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276300800000",
    "number": "1720313562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W 92ND ST",
            "address_2": "#BB",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257516",
            "telephone_number": "212-595-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W 92ND ST",
            "address_2": "#BB",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257516",
            "telephone_number": "212-595-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSOLINI",
        "first_name": "ANGELA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2010-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "015379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula J Busse, MD
• James B Bussel, MD
• Alegre F Bussetti, LMSW
• Suzanne Bussetti, CPNP
• Stephanie Marie Bussmann, CNM
• Agustin Busta, MD
• Richard James Bustamante-Quon, L.M.H.C.
• Chris Bustamante, NP-C
• Isabel Marie Bustamante
• Jean Gabriel Bustamante, M.D.

• Pediatric Occupational Therapist in New York, NY
• Providers in New York, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.