Active NPI
Angelina Antang
- Physical Therapy Assistant
- Rohnert Park, CA
National Provider Identifier
1720521172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- AT 4560
- Practice address
- 4300 Harvest CT
Rohnert Park, CA 94928-1400 - Phone
- (707) 529-6227
- NPI assigned
- Dec 1, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 09403 | OR | |
| Physical Therapy Assistant | 225200000X | AT 4560 | CA | Primary |
Addresses
Primary practice location
4300 Harvest CT
Rohnert Park, CA 94928-1400
Mailing address
4300 Harvest CT
Rohnert Park, CA 94928-1400
Phone (707) 529-6227
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT 4560 | CA | MD | Physical Therapy Assistant |
| 09403 | OR | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480550400000",
"number": "1720521172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 HARVEST CT",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949281400",
"telephone_number": "707-529-6227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 HARVEST CT",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949281400",
"telephone_number": "707-529-6227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTANG",
"first_name": "ANGELINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-01",
"last_updated": "2016-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OR",
"license": "09403",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT 4560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rohnert Park, CA
- Omar Alvarez, PPS COUNSELING
- Ameha T. Joba,DPM, PC
- American Current Care of California, a Medical Corporation (Concentra Urgent Care)
- Lala Anderson, NP
- Anka Behavorial Health, Inc. (Casa Rohnert Park)
- Anthony Lieu DMD Inc
- Anthony Lieu DMD Inc
- David Paul Armstrong, D.C.
- Jennifer Aros, BCBA
- Afaf Asfour, RCP-RRT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.