Active NPI
Angela Hacker
- Occupational Therapist
- Maricopa, AZ
National Provider Identifier
1730329095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2517
- Practice address
- 45012 W Honeycutt Ave
Maricopa, AZ 85239-2842 - Phone
- (520) 568-5100
- NPI assigned
- Feb 26, 2009
- Last updated
- Feb 26, 2009
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2517 | AZ | Primary |
Addresses
Primary practice location
45012 W Honeycutt Ave
Maricopa, AZ 85239-2842
Mailing address
22308 N Vargas Dr
Maricopa, AZ 85238-8617
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 |
|---|---|---|---|
| 2517 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maricopa Unified School District | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Maricopa, AZ
- NPI 1043331275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235606400000",
"number": "1730329095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22308 N VARGAS DR",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "852388617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45012 W HONEYCUTT AVE",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "852392842",
"telephone_number": "520-568-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKER",
"first_name": "ANGELA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-26",
"last_updated": "2009-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "2517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maricopa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.