Active NPI
Angela Gwen Abdon, MS, OTR/L
- Pediatric Occupational Therapist
- Cincinnati, OH
National Provider Identifier
1730356171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT007421
- Practice address
- 6101 Stirrup Rd
Cincinnati, OH 45244-3918 - Phone
- (859) 699-2722
- NPI assigned
- May 14, 2008
- Last updated
- Jul 21, 2022
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31004470A | IN | |
| Pediatric Occupational Therapist | 225XP0200X | OT007421 | OH | Primary |
Addresses
Primary practice location
6101 Stirrup Rd
Cincinnati, OH 45244-3918
Mailing address
6101 Stirrup Rd
Cincinnati, OH 45244-3918
Phone (859) 699-2722
Other practice location 1
600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone (812) 532-2607
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31004470A | IN | MD | Occupational Therapist |
| OT007421 | OH | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1730356171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 STIRRUP RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452443918",
"telephone_number": "859-699-2722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 STIRRUP RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452443918",
"telephone_number": "859-699-2722"
}
],
"practiceLocations": [
{
"address_1": "600 Wilson Creek Rd",
"address_purpose": "LOCATION",
"city": "Lawrenceburg",
"state": "IN",
"postal_code": "470252751",
"country_code": "US",
"telephone_number": "812-532-2607",
"fax_number": "812-537-3514",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABDON",
"first_name": "ANGELA",
"middle_name": "GWEN",
"name_prefix": "Ms.",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31004470A",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OH",
"license": "OT007421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.